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� <br /> ���0 3� <br /> C1TY OF URONO APPLICATION FOR PLUVIBING PERMIT <br /> }1os b6 (27�0 Kelley Parkway) <br /> Crysta' Eay, NIN 55323 <br /> GENER.�I, 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 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. Call 473-7357. 24-hour notice required. <br /> Instructioii� Co:npletP all item� on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC0:�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New �/�`Addition Repair Replace <br /> j,-` Residential Commercial <br /> JOB SITE: �.�(�C�? � � .+r��C-(: �./� - 1•t1„(jy ' Zip: <br /> Owner's 1�1ame: Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractur'sName: � � ` 6� , ' Telep�oneNumber: ? "� -� �7/ <br /> MailingA.ddress: City: 1•(,�� � Zip: SS �l / <br /> � <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> � TYPE FL FL TYPE FL FL <br /> Water Closet C 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 Bar <br /> Sillcocks Misc (list) <br />