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� <br /> , �j�y <br /> . <br /> CITY OF UR.ONO APPLICATION FOR PLUMBING PERMIT <br /> Box 6b (2750 Kelley Parkway) <br /> Crystal Say, 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 pemut 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 /> Instructiot�� Co:nplete all item� on this application. Compute the permit fee. Sign and date <br /> the certification. INCOl��PLETE 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 /> � <br /> JOB SITE: -��G�G' �� S r�� �(�-� Zip: <br /> Owner'sName: 1i'� �'h. ���"" TelephoneNumber: <br /> Mailing Address: ��i ao /�3 ,s�o4� �'� City: Ci'r7�-��� Zip: <br /> Contractor'sName: C'.�Y„�+� ,�'�%�;..,,1�.=� TelephoneNumber: 5�o G�%'��' <br /> MailingA ddress: ` City: Zip: <br /> PLUMBING FIXTURE 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 Bar <br /> Sillcocks Misc (list) �1-N s�r' � ✓,�c !w�'� " ,�i� f��✓/oc <br />