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� <br /> l <br /> w <br /> C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox b6 (2750 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> � � <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards 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 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 aie tested before it is covered. Call 473-7357. 24-hour notice required. <br /> Instructioii,; Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOnS�LET� A::'PLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> ��-���C'��e� ; <br /> Please che�k one: New Addi±ion Repair Replace <br /> �_ Ree>i��r'�ti�i Cv-nmercial <br /> JOB SI'TE: ��``�� N • C�-�.� iZu, ��• 1-.�r�.-�- �'� �� Zip: <br /> Owner's Name: �,��3�. �'� �� {�y��L-� Telephone Number: _ <br /> � Mailing Address• .a-,�c� ._ City: Zip: <br /> Contractor'sName: -u ti+t-�u��.tc ��r3 TelephoneNumber: ? L� z�z<<;�f� <br /> Mailing A.ddress: ��.-�c���-I�� City: t��v��r NY>,�Le Zip: ��.�v� <br /> C �Yj�uh �n�tC�1 S L �C y�l'�G; P"'� <br /> P UMB:�1 FIXTURE SCHEDULE <br /> FIXTUR.F 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 I Laundry Tray <br /> --�..�- <br /> Shower � Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw��sher Wet Baz <br /> Sillcocks Misc (list) <br /> `r <br /> a <br /> � ' t — <br />