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� � �' �� � ! <br /> C1TY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> �Sox 66 (27�0 Kelley Parkway) <br /> Crystal Say, 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 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 /> Instructioii,� Co:nplete all item5 on this application. Compute the permit fee. Sign and date <br /> the certificatioti. INCOn9PLETE 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"f C�S"�� l_' Zip: <br /> Owner's 1�1ame: �,v� e -, Telephone Number: <br /> Mailing Address: City: Zip: _ <br /> Contractor'sName: �Jw n�a t-�� TelephoneNumber: ��y 3 z � 21 <br /> MailingAddress: .2� 7') �,2,�.�.� s t--� ., � :�'� City: �'tc.(�,.��,,� Zip: S'1'3 � � <br /> . <br /> PLUMBING �IXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � � 3 Floor Drains � <br /> Lavatory I I 5 Sewer Ejector <br /> Bathtub L Laundry Tray 1 <br /> Shower } '1- Washer j <br /> Kitchen Sink � Water Heater �— <br /> Disposal � Water Softener <br /> Dishw��sher � Wet Baz <br /> Sillcocks '� Misc (list) <br />