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. <br /> , <br /> , <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox 66 (2750 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pemuts by mail or in person at the City offices. <br /> 2. Pernut 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 pernut 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 /> Instructioi�,� Co:nplete all items 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: ' r New Addition Repair Replace <br /> � Residential Commercial <br /> JOB SIT�;• l'� � ��> �������/ 1, 1� �v� Zip: <br /> Owner's 1�1ame: i c,�.� �, Telephone Number: <br /> n�lailing Address: City: Zip: <br /> Contraetc�r'sName: �`t�� jN1 r�--�^c� TelephoneNumber: y y� •�.�j'z% <br /> MailingAddress: ,,2o—i� ����.fF-�.�,� �,�City: U��(-����� Zip: ,�s 3 �; � <br /> , <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet [ � v�-� Floor Drains t <br /> Lavatory � �-� j Sewer Ejector <br /> Bathtub � � Laundry Tray � <br /> Shower '� ,1 ( Washer � <br /> Kitchen Sink � Water Heater �- <br /> Disposal t Water Softener <br /> Dishw.�sher I Wet Bar I � <br /> Sillcocks � Misc (list) <br />