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4, <br /> � � ,,�b I 5� <br /> �� <br /> � i�� ' <br /> CITY OF URONO 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 retum 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 separate 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. Call 473-7357. 24-hour notice required. <br /> Instructioi�� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: � New Addition Repair Replace <br /> Residential Commercial <br /> JOB SITE: (�' Zip: <br /> Owner's Name: c_ Telephone Number: C — <br /> MailingAddress: � �c: (�f- �' City: � '��eZip:�5��.�r.�. <br /> Contractor'sName: �.R w� ` TelephoneNu ber:�� <br /> MailingA.ddress: City: �f , �'S�ip � p�l <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet �j Floor Drains � <br /> Lavatory Sewer Ejector <br /> Tu <br /> Bathtub � Laundry T*�— <br /> Shower l Washer <br /> Kitchen Sink Water Heater ( <br /> Disposal 1 Water SoRener <br /> Dishw�sher We� B� � <br /> Sillcocks Misc (list) � �� � <br /> c,Ua�r l� � r Co�k`�i <br /> �- � �- �� � <br /> fl � � <br />