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' ,I �b�Co <br /> 7 <br /> �r <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �loY b6 (27�0 Kelley Parkway) <br /> Crystal Say, lVIN 55323 <br /> GE�]ERAL 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 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 /> � 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 rcmodeling 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 /> Instruction� Coa�plete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOM?LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: OC New Addition Repair Replace <br /> � Residential Commercial <br /> JOB SITE: �O�f- � �v�G,.rus�BC�i ��. Zip: <br /> Owner's Name: ' ��/t:�n Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractnr'sName:S,, �o r � � -F/ ,TelephoneNwnber: y7�S 3o G <br /> MailingA.ddress: � S�/ ,, (�f ity:M m,m�l Zip:S;S^2G �} <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E 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 Baz <br /> Sillcocks Misc (list) <br />