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C1TY OF UIt.ONO APPLICATION FOR PLUMBING PERMIT <br /> �los bb (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pernuts 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 /> POST�D ON THE JOB SITE. <br /> 3. Plumbing pernuts 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. INC0:�9?LET� 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• '�~ �� — Zip: <br /> Owner's l�lame: ,��,av �/),Q,l�Yj i9p�' Telephone Number: <br /> Mailing Address: J�- � City: Zip: <br /> Contractor'sName• s • �� �---. Telepl}oneNumber: _ -n�(. <br /> MailingAddress:�OD .�p City: ��70U�� Zip: <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE 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 Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw:�sher Wet Bar <br /> � Sillcocks Misc (list) <br /> 5 <br />