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�r-- <br /> w � g�-i3 <br /> CITY OF UKONO APPLICATION FOR PLUMBING PERMIT <br /> Box 6b (2750 Kelley Parkway) <br /> Crystal Say, 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 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 /> 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 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. 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 certification. INCOl�TPLETE 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 5IT'E: 3:;�'S� (� '�GL�--e J�_, Zip: <br /> Owner's 1Vame: ,�',�, y1�,Q,���.�i�' Telephone Number: <br /> MailingAddress: 3s�s�S ���C� ��� City: C��-,.��_ Zip: <br /> Contractor'sName: a.�:�,z ��,,,,�.�; TelephoneNumber: y�,�..i;�� � <br /> MailingA.ddress: 7� �v C'� f�,( /��.; �,�, City: ��/ .,.ti�' Zip• S 5��.H <br /> l G n� <br /> PLUMBING FIXTURE 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 a 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 />