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� �� �► ' . G�,v�'0 <br /> a� 99� �-/��� � <br /> M�� � ��-,n`'�� <br /> C1TY OF UR.ONO APPLICATION FOR PLL�MBING P�RMIT <br /> �ox 66 (27�0 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 return 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 rcmodeling 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. Call 473-7357. 24-hour notice required. <br /> Instructioi�,� Co:nplete all item� on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE 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: �'i�i �.� ��,t��c �� _ � f? )��. Zip: <br /> Ot3�ner'�l�rame:�,' i,:�� ��u[£.,�.C`�� TeZeph�ne N�::nk�er: <br /> Mailing Address - -�._c:�el�,'t� �,.�.��' City:,�: ; !,� ,: , Zip• =;L���-��-� <br /> Contractor'sNam . �,-� - ' ` � > TelephoneNurilber: '��,��>:�--�7��'(;`-r <br /> Mailin A.ddress -_ , \ :, � � " City:��l�r�c�`�; ��;;Zip: ' ,�=�-3�5 <br /> g 1 x , � ������:`t���,�1C��� � _ , <br /> PLUMBING �'IXTURE SCHEDULE <br /> FIXTURt: 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 /> Dishw,�sher Wet Bar <br /> Sillcocks � Misc (list) � <br /> t `- �r, <br /> W���• ,., <br /> S,:.ry' �' �-'�- <br /> �� <br /> �� <br />