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. �'�o',� <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �loY b6 (27�0 Kelley Parkway) <br /> CryStal Say, NIN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry offices. <br /> 2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POST�D 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 sepazate 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 /> Instruction� Coaiplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOA�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: � 1Vew Addition Repair Replace <br /> Residential �" Commercial <br /> �l.��• �,bc. Av�.lrJ . ' <br /> JOB SITE: .��9�-�',E'��.� ,''.� �!"� w,� Y z�TfI /y.t� Zip: ,5.�" 3 `I/ <br /> Owner's Name: �o�;n o L!: /� �'e/� C�(�b Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractar'sName:L�9 �-,�� 2-E /�G�� G TelephoneNumber: �y--�,��/ <br /> MailingA.ddress:P o /.� o X 3� 5' City:fo,eESTL� ZiP: 5�S o�S" <br /> /`?N • <br /> PLUMBING FII�TURE SCHEDULE <br /> FIXTURF 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 /> dc a�.v�z � <br /> Be�Enb � � Laundry TraY � <br /> Shower g Washer <br /> Kitchen Sink � � Water Heater � <br /> Disposal � Water Softener l <br /> Dishw.�sher � Wet Bar � <br /> Sillcocks ' Misc (list) <br /> � ��;' �D /o �- � � <br />