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� �:���� <br /> , _. <br /> C1TY OF URONO APPLICATION FOI�PLUMBING PERMIT <br /> }:iox 66 (2750 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pernuts 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 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. Ca11473-7357. 24-hour notice required. <br /> Instructioi�a Co:nplete all items on this application. Compute the perrnit 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: � �S� �Olc���17 r(J l � Zip: �"� �,Z. 3 <br /> Owner's Name: ����_�S Telephone Number: <br /> Mailing Address: p��, �,�� p/�� �,,c�City: Zip: <br /> Contractor'sName: , TelephoneNumber: 3�� <br /> PvlailingA.dciress: _ City: r:,�,;.� Zip: �=�,�,� <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet y, � � Floor Drains f <br /> Lavatory � � Sewer Ejector <br /> Bathtub Laundry Tray � <br /> Shower ��, � Washer <br /> Kitchen Sink f Water Heater 1 <br /> Disposal f Water Sof[ener <br /> Dishw:,sher Wet Baz <br /> Sillcocks Misc (list) <br />