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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) ' " <br /> Cry�stal 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 cazds will be sent by retum mail after a review is completed. PERMTTS ARE NOT VALID <br /> UNTIL YOU RECENE 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 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 /> Instructiona Coa�plete all items on this application. Compute the permit fee. Sign and date <br /> the certi�catioii. INCONIPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: (/ New Addition Repair Replace <br /> ►�Residential � Commercial <br /> JOB SITE: Zip; <br /> Owner's Name: Telephone Number: <br /> Mailing Address: D rv L-e �Q City: Zip: <br /> Contractor'sName: e`� � TelephoneN ber: y7�zQg� <br /> MailingA.ddress:�'�S,(J�h�� �r- City:jri� /P� .���." Zip:. �'�-.�S`� � <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 f Laundry Tray � <br /> Shower � � Washer <br /> Kitchen Sink � Water Heater � <br /> Disposal � Water Softener � <br /> Dishws�sher Wet Baz <br /> Sillcocks Misc (list) <br />