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� � � <br /> � r <br /> � � <br /> �� <br /> C1TY OF UI�.ONO APPLICATIQN FOR PLUMBING PERMIT <br /> ��x h6 (27�0 Kelley Parkway) <br /> Crystal Bay, l�'IN 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 /> POST�D ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properiy owners residing <br /> �` in the dwelling. <br /> 4. When any new construction or remodeling is involved, a sepazate building permit must be obtained. <br /> � 5. All work must be done in accordance with the State Code reauirements. <br /> � 6. All work must be inspected and air tested before it is covered. Call 473-7357. 24-hour natice required. <br /> �,,, . <br /> Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCOA�PLET� 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: /� ���/e,l���,��.I` o/ Zip: <br /> . �wner's A1ame: -��� g,1�� ��;�e,�c_�... Telephone Number: <br /> �; Mailing Address: City: Zip: <br /> �' Contractar'sName: � TelephoneNumber: ���7�J'? <br /> MailingA.ddress: �, City:�'10n�ea�le,�Zip: �����" <br /> � �. <br /> �' PLLTMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2NI� OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Floor Drains �' <br /> Lavatory Sewer Ejector <br /> Bathtub � Laundry Tray <br /> Shower � � �� � <br /> Kitchen Sink � ,� Water Heater <br /> Disposal � Water Softener <br /> Dishw�sher t Wet Bar <br /> Sillcocks Misc (list) - o ��Q��, <br /> � e�� ���� <br /> � ��� � � �� <br /> -�' ��° w �-r�,� <br />