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<br /> CITY OF URONO APPLICATION FOR PL�TMBING PERMIT
<br /> � �laY fi6 (27�0 Kelley Parkway)
<br /> Crystal Bav, 1VIN 55323
<br /> � RMATION
<br /> �; GENERAI, INFO
<br /> ��' 1. You may apply for plumbing permits by mail or in person at the Ciry offices.
<br /> �� 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
<br /> � UNTIL YOU RECENE 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�.� Co:nplete all items on this application. Compute the permit fee. Sign and date
<br /> the certificatiaii. INCO�'1�LET� 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 /> ��, , �� f k �
<br /> f 1� � ��_� F ��'�� �� Zil
<br /> JOB S12 L'' T � I ��I:���I � � � .a� ��p p:
<br /> Owner's 1Vame: �-�-� �,r` �'��-_� ' ' Telephone Number:
<br /> ` -• --�f �-- , ,
<br /> 1Vlailing Address J; 'i�'���;� F� ,:�.� '_�.r�^� ,�--:;�,- . City: � t��- ;�.=�-�, _.Zip:
<br /> ` Contractc�r'sName: '\ !�t E �-• �^ �� ::� �r��^� �4'`: TelephoneN ber: �S�y(--���;�1
<br /> MailingA.ddress ��, � ;'�..�'��: °�:^ '� � � -i�.,� City ��>.,�` �;r� ��.�ip; '-`�`�?-�- ;
<br /> PLUMBING k,IXTURE SCI-€EEDULE
<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 Washer
<br /> Kitchen Sink F Water Heater
<br /> Disposal ` Water Softener
<br /> Dishw;�sher � Wet Bar
<br /> Sillcocks Misc (list)
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