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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }1oY b6 (27�0 Kelley Parkway) <br /> Crystal Say, NIN 55323 <br /> GENERAL INFORMATION <br /> 1. �'ou may apply for plumbing permits by mail or in person at the Ciry 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 rcmodeling 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 /> Instructioi��� Co:nplet? all items 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 /> _� Residential Commercial <br /> JOB SIT�;: ` ' q � Zip: <br /> Owner's Name: ��;,,.� � ;S�; � �;/ ;".- Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractc�r'sName: �''j� t�., >jn- TelephoneNumber: 1.,,/�2��%ys;���' <br /> MailingAddress: :-;,-��,y�1Z City:����;��.�� Zip: ��'3� > <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 f � ` —r�`t • Floor Drains � <br /> Lavatory ,� Sewer Ejector <br /> Bathtub � Laundry Tray j <br /> Shower Washer f <br /> Kitchen Sink � Water Heater j <br /> Disposal f Water Softener <br /> Dishw�sher ` Wet Bar <br /> Sillcocks � Misc (list) <br />