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<br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT
<br /> �ox 66 (27�0 Kelley Parkway)
<br /> Crystal �ay, MN 55323
<br /> GENERAL INFORMATION
<br /> 1. You may apply for plumbing permits by mail or in person at the City offices.
<br /> 2. Permit cazds 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 pemuts 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 sepazate 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 PROCESSED. If you have
<br /> questions, call 473-7357.
<br /> Please check one: New Addition � Repair �� Replace
<br /> � Residential Commercial
<br /> JOB SITE: �� { ����tl l�, ��-��S C� �a� ��°�'.-� Zip: 5��1 l
<br /> Owner's 1�Tame: (_.._�c�4-, �����sh r�e,c,*��� T'elephone Number: 4�3- �-{-� y-S'
<br /> Mailing Address: City: Zip:
<br /> Contract��r'sName: ��,tu� �u� ���Y�,�-,,t F,�r� TelephoneNumber: ��3-���;'�
<br /> MailingA.ddress: `�Qx: �.qy City: t..oY � �C� Zip: ��35�
<br /> .
<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 /> ��
<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)
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