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CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }�os b6 (27�0 Kelley Parkway) <br /> Cry.stal �ay, NIN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <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 pemuts 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. AlI woric must be inspected and air tested befo�e it is cov�red. Ca!1 473-7357. 24-hour notice required. <br /> ` Instructioi�� Co:nplete all item� on this application. Compute the permit fee. Sign and date <br /> , <br /> the certificatioii. INC0:�9PLET� 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: ��� �oc�,uJ iP.O �t/ Zip; SS3-13 <br /> � Owner's 1�1ame: G•��L1�� �f�yy,unt,E,��,c�T' Telephone Number: y�',t_ 9��- oeai� <br /> ' Mailing Address: /��� :Yw�r T �v,T.e at�3 City: /�be°��.�s Zip: �S.S,�o,�' <br /> Contractor'sName: c�� si�� Pu,�6 � f/'T6 TelephoneNumber: �'S'.?-�`'if�-7�o0 <br /> MailingA.ddress: �'a?��Q Z��a?��✓ .s�ti,� City: �ivv.v6� Zip: �S"S3 ��' <br /> PLUMBING �'IXTURE SCHEDULE <br /> �: <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet j � � Floor Drains � <br /> Lavatory j o2 6 Sewer Ejector <br /> Bathtub a Laundry Tray l <br /> Shower J� Washer f <br /> Kitchen Sink l Water Heater � <br /> Disposal 1 Water Softener <br /> Dishw:,sher � Wet Bar J <br /> Sillcocks �j Misc (list) / '� / <br />