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` �` ,!`fiL1�a� <br /> C1TY OF URONO APPLICATION FOR PLU�B�NG P��tMIT <br /> }�ox h6 (2750 Kelley Parkway) <br /> Crystal Say, l�'IN 55323 �'' ` _ vr���'�' <br /> ,�� <br /> . d <br /> t.. <br /> GENERAL INFORMATION " <br /> L You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cazds 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 pemuts 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 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 /> ` Instruction� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> , <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: o?�SD S�"l��' �c'�` .C/V Zip: <br /> Owner's Name: P � ,q�J[,� Telephone Number: y�y-o y6� s <br /> Mailing Address: iy�go �, 7� s /pa City: t�. p. Zip: �,3 y��f ` <br /> Contractor'sName:_�.(�I,t'�,5'j/,�.E i`'-�t3L d� .6 TelepY,ioneNumber: �'y 7600 <br /> � <br /> MailingA.ddress: /�y`y Z,cJ,eR�eJ �l�.E City: �5"�'�/•�lE Zip: ��3�g <br /> PLUMBING FIXTURE SCHEDUL,E <br /> — <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet liQl l 3 Floor Drains l � � <br /> i.avatory l/QI l S �ewer �jector <br /> Bathtub �,el p? Laundry Tray � <br /> Shower a Washer / l <br /> ; <br /> Kitchen Sink / Water Heater l <br /> Disposal / Water Softener <br /> � <br /> Dishw��sher l Wet Bar �,Q� <br /> Sillcocks � Misc (list) <br />