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C1TY OF UR.ONO APFLICATION FOR PLUMBING P�ItMIT <br /> Bux 6b (2750 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> G�NERAL 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 rcmodeling 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 certification. INC011�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 /> JOB SITE: �d Q�5 C1i-�C D ►�o� N� {Zu►�(�� 1�J►4y,�/�-Zip: S 5 3�t 1 <br /> Owner's Name: _��-� �v T���12v� Telephone Number: ��1-8�� l�¢o�-��� <br /> Mailing Address: �Q,� �co ,��- {?.� City: � �y��-v� Zip: ��3� � <br /> Contractc►r'sName: ��- pW�� TelephoneNumber: <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 Closei ✓ 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 />