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f' �� <br /> � � <br /> C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �lox 66 (27�0 Kelley Parkway) <br /> Crystal Say, 1VIN 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 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 /> 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 /> Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC01�9�LET� APPLICATIONS WILL NOT BE PROC�SSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair � Replace <br /> Residential Commercial <br /> JOB SIT'E: Z� 6�( �Ce. � a� -� �Qs Zip: <br /> Owner's 1�1ame: �T Telephone Number: f.{��—� 7� �_ <br /> MailingAddress: �.c, c.� c,ScC� .R�' City: �,������ Zip: ��'�� � <br /> Contractor'sName: j�'��-� (�(����,;,���_ TelephoneNumber: �-�7 Z-t f c..i�� <br /> MailingA.ddress: Q;� . ����� ��� City: /j�,c,�Y��� Zip: �5�4,Z. <br /> PLUMBING FIXTURE SCHEDULE ` <br /> FIXTUR.F 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) <br />