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� <br /> , , . <br /> CITY OF UIt.ONO APPLICATION FOR PLUMBING PERMIT <br /> }���s 66 (27�0 Kelley Parkway) <br /> Crystal Sa v, 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 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 /> 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. INC0119PLET� 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 SITE: 3 7 C f ac� Zip: ��3 �1� <br /> Owner's Name: ,� Telephone Number: �7/--�c fc�� <br /> Mailing Address: ¢�- � City: ��-- Zip: <br /> Contractc�r'sName: �e TelephoneNumber: �`7/—p�� <br /> MailingA.ddress: City: O�-e-�-- Zip: 53 <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet Floor Drains <br /> Lavatory Sewer Ejector <br /> Bathtub x Laundry Tray <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal x Water Softener <br /> Dishw.�sher x Wet Bar <br /> Sillcocks Misc (list) <br />