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f , <br /> _ . ���� <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �os b6 (27�0 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL IlVFORMATION <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 /> POST�D 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 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 /> Instructioii,� 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 v�Addition Repair Replace <br /> �'Residential Commercial <br /> � . <br /> JOB SITI+;: ��,� ���r���. �� ��� Zip: <br /> Owner's 1Vame: ���� � �l-�,�,�.,�, �: �_ �.� _ Telephone Number: <br /> Mailing Address: #2� `_�; ,�r,��- f "' City: Zip: <br /> Contractur'sName: `�11.�,-:_, 1'�1�.n,�-,,h. �-� r� �_�,�. TelephoneNumber: �;;��'-�y , � <br /> ��� ; <br /> MailingAddress: � `' �'(r�.4. /��� °"' City: �- �� �_i,� Zip: �� Jy 3 <br /> PLUMBING FIXTURE 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 � Laundry Tray <br /> Shower j Washer <br /> Kitchen Sink f Water Heater <br /> Disposal Water Softener <br /> Dishw:sher Wet Bar <br /> Sillcocks Misc (list) <br />