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. <br /> r ` <br /> CITY OF UIt�ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox 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 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. INC01�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 srrr.: 3 yyS G�ys�� �a, Q�� Zip� , <br /> Owner's 1�1ame: Cal�ber B�:�derS Telephone Number: ��a- �y3 -7Soa <br /> Mailing Address: City: Zip: <br /> Contractc►r'sName: i�e S��Q PI��,b,�q TelephoneNumber: 9Sa-�39�-760• <br /> MailingA ddress: �ac��q z���� av� City:�.,� Zip: SS 31 S <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL ;G TYPE FL FL <br /> Water Closet a � {� Floor Drains <br /> Lavatory � �-I � 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 />