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li. <br /> CITY OF URONO APPLICATION FOR PLUMBINf�PP�dVI� <br /> �ox 66 (27�0 Kelley Parkway) '�.�. �' � <br /> Crystal Say, MN 55323 c "� G <br /> -n � � <br /> � � � � <br /> . GENERAL INFORMATION � `� <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. O <br /> 2. Permit cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTLD 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. A11 work must be insgected and air tested before it is covered. Ca11473-7357. 24-hour notice required. <br /> Instructiov� Coaiplete 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, ca11473-7357. <br /> Please check one: � New Addition Repair Replace <br /> x Residential Commercial <br /> JOB SITE: a9�S �o`/F��S� .Z.�1 Zip: SS3a3 <br /> Owner'sName: ��,E,P �.c1D,eE,� TelephoneNumber: �,3 y-o yy9 <br /> Mailing Address: /�//�o GJ. �� v�T City:F.I�,E'� ,�,��PLip: ,S,S'3 �/�/ <br /> Contractur'sName: ,��,�,�5/D� P,�86 d � TelephoneNumlier: 8'y S/-76a o <br /> MailingA.ddress: �ayd� Zi��'�� 1�d£ So. City: �'�1d�6�E Zip: SS37� <br /> PLUMBING FII�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet J RZ o� ,3 Floor Drains a -jn A'������ <br /> Lavatory � �'Z 3 � Sewer Ejector <br /> Bathtub / �'Z Laundry Tray � <br /> Shower l � Washer � <br /> Kitchen Sink f Water Heater � <br /> Disposal J Water Softener <br /> Dishw.�sher f Wet Bar � <br /> Sillcocks � Misc (list) <br /> -J� <br /> �� <br />