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C1TY OF URONO APPLICATION FOR PL�i�iBIl�G PERMIT <br /> Box 66 (27�0_Kelley Parkway) 5 <br /> Crystal say, MN s5323 _. -. - -. M A.� 1991 <br /> C1.�pF OR�NO <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. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE 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 accordatice with the State Code requirements. <br /> b. All work must be inspected and air tested before it is covered: Call 493-7357. 24-hour notice required. <br /> Instruction� Complete all items on this application. Compute the permit.fee. Sign and date <br /> the certificatioii. INC0119�LET� 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 SI'I'E: �R'�-i ���V b��� ��1v� �C� Zip: " '_ - <br /> Owner's Name: (�)�� �� � 1 h�h��5 Telephone Number: -, <br /> Mailing Address: City: Zip: <br /> Contractor'sName:�;ULLIGAN WATERSSOND�TIC�NIN'�IephoneNumber: <br /> MailingA.ddress: E030 CULLIGAN WAY City: Zip: <br /> MINNETONKA, MN 55345 • <br /> PLU�����RE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Flc�r 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 /> �� <br /> �� <br />