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CITY OF URON� APPLICATION FOR PLUMBING PERMIT <br /> �ox b6 (27�0 I{elley Parkway) <br /> Crygtal 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 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�a Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certi�catiaii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: x New Addition Repair Replace <br /> �_ Residential Commercial <br /> JOB SIT'E• ��� ����� �� � Zip: <br /> Owner's 1�1ame: ��.�� ;�f�-:,� i4j�.�-,�,S Telephone Number:��7s=v���, <br /> Mailing Address: City: Zip: <br /> Contractor'sName: ,�-,-,�t�:,; ;�� ��9s�f��-�o TelephoneNumber: -���/-����- <br /> MailingA ddress: J5/� ��� ,�� ,v<-�� City: ,�nl��,�,z Zip: s���� <br /> �. <br /> PLUMBING �,II�TURE SCHEDULE <br /> �� <br /> FIXTUR.F BSMT 1ST 2NI3 OTHER FIXTURE BSMT 1ST 2NB OTHER <br /> � <br /> TYPE FL FL TYPE FL FL <br /> � <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 `i��(lisi) T�� � � <br /> ., �' <br /> � � <br /> � g <br />