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. �D�z� <br /> � <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �los b6 (27�0 Kelley Parkway) <br /> Crystal Sa,v, NIN 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 PERMTT. 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 sepuate 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 /> Instructioiw Coa�pletP all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLET� 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: /S lo � �d Zip: �S^3d3 <br /> Owner's Name: ,e,Q� Telephone Number: <br /> MailingAddress• 3s�s �''' d� y✓ City: 4Rv,va Zip: SS3a� <br /> Contractc7r'sName: � ' 8G— E �i�- Tele honeNumber:3�� a>�-��i_, <br /> MailingA.ddress:_,3�'v � Gt,ae /�j City: Zip: Ss�'c� � <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 /> Dishwssher Wet Bar <br /> Sillcocks Misc (list) <br />