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!iJ ( ��F <br /> Y <br /> C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> �ux 66 (2750 Kelley Parkway) <br /> Crystal Bay, 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 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:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOr9�LET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: Ie1ew Addition Repair Replace <br /> _� Residential Commercial <br /> ��rvn o � <br /> JOB srr�: a�I�s ���n� _ ; d� �� . �n L K Zip: ss3 s L <br /> Owner's 1�1ame: � . �,� ur c ` �� Te ephone Number: y�� �v�s y <br /> MailingAddress: ay'�1s �u,.,{�yS1�l� �r. City: I�a L�V.� Zip: �'�3S(� <br /> Contractar'sName: Telepho�l eNumber: <br /> MailingA.ddress: City: 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 Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub Laundry Tray <br /> Shower W asher <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw��sher Wet Bar <br /> Sillcocks Misc (list) <br /> ��c�e. �1aIvC. � ��rc.� kler �^�.�.S�r►-n , <br />