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C1TY OF URONO APPLICATION FOR PLUMBINCr?�ERMIT <br /> Bux b6 (2750 Kelley Parkway) � � �� �`�� � <br /> Cry�tal Bay, MN 55323 ���- G `;��, <br /> � �� � �� <br /> GENERAL INFORMATION �� s,y �� <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry offices. 0L ` <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMTTS A1�E 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 glumbing 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 air tested before it is covered. Ca11473-7357. 24-hour notice required. <br /> Instructiou, Coalplete all items on this application. Compute the permit fee. Sign and date <br /> � the certificatiaii. INC011�PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair Replace <br /> Residenrial � Commercial <br /> JOB SI1'E: � Zip: `��j3ci � <br /> Owner's Name: (�m ���,v� Telephone Number: u''�5 a 5 5 0`� <br /> Mailing�iddress: Sf�n-�c City: Zip: <br /> Contractar'sName: ru���GpN WA1"ER CONDITIONIN�elephoneNumber: —r"j,�3• 7aU a <br /> MailingA.ddress: 6030 CULLIGAN WAY City: Zip:. <br /> MINPIETTC�NKA� MN 55345 <br /> PL ' � 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 <br /> Disposal Water Softener <br /> Dishwssher Wet Baz <br /> Sillcocks Misc (list) <br /> � ��� <br /> � <br />