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�j <br /> � �b � <br /> C1TY OF URONO .�PPLICATIQN FOR PLLTMBING PERMIT <br /> }�oY 66 (27�0 Kelley Parkway) <br /> Crystal Bav, NIN 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 OIVLY 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:nplet? all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLET� 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 /> J4B SITE: �� �`� V �/� � �r, Zip: <br /> Owner's Pdame: y' � Telephone Number: <br /> Mailing Address: ��� ��;,�� City: Zip: <br /> _ Contractar'sName: �i�;,� � � " " ��1��,r,�,��r TelephoneNumber: ���- S��:�'"�� <br /> � 1Vlailing A.dc�ress: o�.30 �o F. � � ' City:�;�y Zip: ,S`S�.�� <br /> � <br /> PLUMBING FII�TURE SCHEDULE <br /> FIXTURE 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 />