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_. <br /> 5'. � <br /> : � �1 <br /> J <br /> � ��O <br /> CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �lox hb (27�0 Kelley Parkway) <br /> Cry$tal Say, 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 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 /> Instruction� Co:nplete all item� 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 I� Replace <br /> Residential Commercial <br /> JOB SITE: �i�,�'L� C�C�S� I� 2 Zip: <br /> Owner'sl�lame: � l�� C SA fJ�CL TelephoneNumber: <br /> Mailing Address: City: Zip: <br /> Contract��r'sName: [_.�,,nP����; �y��g,r►�T.,�Cr TelephoneNum er: �'3'3 C�C��� <br /> MailingA.ddress: �(�3� �1�n�:.r� L ��l nJ City:13�z��,��✓•J(�'N��ip: Ss y2� <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> 5 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 Baz <br /> � <br /> Sillcocks Misc (list) <br /> x ` <br /> . .� :t ., .. �!� • . <br /> � .. ..,. . . . . <br /> : . .. .. . <br /> . ' � . � � . . � .�. ....' .. . �� . . <br />