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' <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT � <br /> }�os 66 (27�0 Kelley Parkway) <br /> Crystal Sa,v, 1�'IN 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 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 pernut must be obtained. <br /> t 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:nplet? all item� on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOM�LET� 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: I C)�C� `�' a �b�A t�� 1C��n� Zip: �a��'� <br /> Owner's Name:_`�c;� �C��, Telephone Number:_ y 7 j����¢�� <br /> Mailing Address: s�� City: Zip: <br /> Contractr�r'sName: _l�. i3 P� � 1�--� TelephoneNumber: y°�3 ��p-{p`� <br /> ' MailingA.ddress: �� r� t City: , ; Zip: 5���(� <br /> PLUMBING �,IXTURE SCHEDULE <br /> FIXTUR.E 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 Q Washer <br /> Kitchen Sink � Water Heater <br /> Disposal Water Softener <br /> Dishw;�sher Wet Bar <br /> Sillcocks Misc (list) <br />