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��,� <br /> . � 3 ° � 7 <br /> D <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> �ox 66 (27�0 Kelley Parkway) <br /> Crystal $ay, MN 55323 <br /> GENERAL INFORMATION � <br /> 1. You may apply for plumbing pernuts by mail or in person at the City offices. <br /> 2. Pernut cazds will be sent by return 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 /> s 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 item5 on this application. Compute the permit_fee. Sign and date <br /> the certificatioii. INCOI��PLET� 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: I�� �iQ�Di.I(L i�C, �, Z1P� �`S�`'i � <br /> Owner's 1�1ame: I�QA� l�Qt�iJ�-- Telephone Number: <br /> Mailing Address:ty� E3p�Du�2 Fk.�. City�Z�l�-YJ Zip:�s�.q � <br /> Contractc�r'sName:M2. ��i�.2. TelephoneNumber:ll�,�-s�(-G�5`— <br /> MailingAddress;�� �►'hf'u� �jfZ�,-t� U� City• Zip:��Sc.�� <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water �loset rioor Drains <br /> Lavatory Sewer Ejector <br /> � <br /> Bathtub Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater j <br /> � <br /> Disposal Water Softener <br /> Dishwt�sher Wet Bar <br /> Sillcocks Misc (list) <br />