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� <br /> �► ti .�� �1 I�Y <br /> 6���� 1 � �9�� <br /> C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }S��s b6 (27�0 Kelley Parkway) <br /> Crystal Sav, NIN 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. Alt work must be inspected and air tested before it is covered. Call 473-7357. 24-hour notice required. <br /> Instruction�� Co:npletP all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC0:1'1PLET� 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 SITF,: I1O �S'�AL. ��•► Zip: <br /> Owner's 1�1ame: Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contracti►r'sName: Q�A1��1,� !� Tele honeNumber: -184• '�Z, <br /> MailingA ddress��'�� .�h1�M1,� �0.�"' City: Zip: �Si��q <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> lzlater Clese: �i � �, Fl�or L':ai�s <br /> Lavatory 5 Sewer Ejector <br /> Bathtub �I � Laundry Tray � <br /> Shower ' Washer r <br /> Kitchen Sink ' Water Heater ' <br /> Disposal Water Softener <br /> Dishw�sher � Wet Bar <br /> Sillcocks Misc (list) <br />