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� � � <br /> �F�F���'in p�P:� <br /> �..���.' ;E,�.. <br /> � ��p 1 � 1�99 <br /> C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> }SoY h6 (27�0 Kelley Parkway) <br /> Crystal Say, 1VIN 55323 <br /> GENERAI, 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 pemuts 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 pemut 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: �New Addition Repair Replace <br /> Residential Commercial <br /> JOB SIT�;: � l� `Qys��• �'Q.�bC— Zip: <br /> Owner's 1�1ame: Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractc�r'sName: 01�.P►wSc�.1 +��-�1 Tele honeNumber: "'� $a-�"7q Z. <br /> MailingA.ddress:qa"�q S'SA•'�LZ SZ4k�0�' City: NPa Zip: �S'q4� <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet ', 2. Floor Drains 1 <br /> Lavatory � � Sewer Ejector <br /> Bathtub 1 , Laundry Tray � <br /> Shower �, Washer � <br /> Kitchen Sink � Water Heater 1 <br /> Disposal Water Softener <br /> Dishwssher � Wet Bu �,, <br /> Sillcocks � Misc (list)S��K '� <br /> s�0 <br />