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s - .. -.a <br /> C1TY OF URONO APPLICATION FOR PLU11fIBING PERMIT <br /> Box 66 (2750 Kelley Parkway) i <br /> Crystal Say, NIN 55323 <br /> r��� y �.,��� h�,_,m��� <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 return 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 /> t 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 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� Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCONiPLETE 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 SITE: �: 1 �Lt,. Zip: <br /> Owner's Name: � Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractnr'sName:��v1 a.s � U�r�a�,� TelephoneNumber: Z.L�O'lZ�� <br /> MailingA.ddress: l'� 1.at�R l�uC.W �d City: �(�� '1Sl�r Zip: 5�3,31 <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 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 />, <br />