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� �5 �� <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing <br /> in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Ca11473-7357. 24-hour notice required. <br /> Instructiona Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INC0119PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair � Replace <br /> Residential _� Commercial <br /> JOB SITE:�'�y 12-2 D `�h0 �l ne �r'�tte. Zip:�c�Z2 <br /> Owner's Name: Telephone Number: c.(y�=�ls�_ <br /> MailingAddress: Ib ��ne v�. City: � 4 �ip: 5�I$ <br /> Contract�ir'sName: '� . TelephoneNumber: t.�-jp-�Za� <br /> MailingA.ddress: 1� �.ca,� �.vc�,��. Cit3':� �Celsl� ZiP� 55331 <br /> . <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw«sher Wet Bar <br /> Sillcocks Misc (list) <br /> (,UorK � be c�one� � 1-/ ,��p�i C ��in l�n� C�01'Yl��ec,�e� dr� <br /> ��Iorm p/�,i n <br />