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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �los b6 (27�0 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT 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� Complete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC0119PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: �_ New Addition Repair Replace <br /> Residential Commercial <br /> JOB SITE: 3oso G�u� Road (o Zip: x3S� <br /> Owner'sName: pv,v, ��e�u-�c�r TelephoneNumber. �q�a�u�3�ba3s <br /> Mailing A ddress: �o�o C1�u.r-�y„�.vc�4 c� City: OVcrn� Zip: �3 5� <br /> Contractur'sName:T�rn�s ('�uU-t►f-y P�u-uv'b�v�r� TelephoneNumber. �a�a�4�3•oc�ss <br /> MailingA.ddress: 5a3 Cu�tvc�.l P�e,vu,�.� City: Oss� Zip: ��3�q <br /> PLUMBING FII�TURE SCHEDULE <br /> FIXTURE 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 ► �D <br /> Disposal Water Softener <br /> Dishw:+sher Wet Baz <br /> Sillcocks Misc (list) <br /> X�"`� <br /> �� <br /> , <br />