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. 3s� <br /> � <br /> CITY OF UR.ONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, 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 retuin 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. Ca11473-7357. 24-hour notice required. <br /> Instructio�� Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOD�PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: New Addition Repair Replace <br /> Residential Commercial <br /> JOB SI1'E: .3�l� S�svv�e.t -e� �a-+�►� Zip: '�5 3�5�. <br /> Owner's Name: cr—J Telephone Number: 4���S � 3 �C <br /> Mailing Address: 3D 1 S��„p�e.,� La�e City: Q�r�a Zip: j5 3�'(o <br /> Contractor'sName:_�jQ OF('—;�-e...� TelephoneNumber: <br /> MailingA.ddress: City: Zip: <br /> PLUMBING FII�TURE 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 /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) <br /> P�SS`�z� � ��k ��� ���--� <br /> � P <br />