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CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �los b6 (27�0 Kelley Parkway) <br /> Crystal Say, NIN 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 retuin 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 /> � 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 /> Instructioi�, CoaipletP all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: ���ew ✓ Addition Repair Replace <br /> t/ Residential Commercial ' <br /> JOB SITE: � ��✓ � Zip: <br /> Owner's Name: elephone Number: � <br /> Mailing Address• � City: Zip: <br /> Contractnr'sName: Tele honeN e : <br /> MailingA.ddress: �{'� o ,�j' City: 'p: ,�_3 <br /> • PLUMBING �'II�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet r 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 I <br /> Sillcocks Misc (list) <br /> -. <br /> � � � � <br /> �' ,��_ <br />