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. � � �o$�� <br /> � <br /> C1TY OF UR.ONO APPLICATION FOR PLUMBING P�RMIT <br /> Flux 66 (27�0 Kelley Parkway) <br /> Crystal $ay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Pernut 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. Al?v��ork 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 certification. INCOT9PLETE 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 SITL;: .�15�G'�- di.,��-�'-��. G� ��� � Zip: <br /> Owner's Name: � ""'p"" P Telephone Number: .�/ » �z_.�� <br /> Mailing Address: �'iUST��I! PLU {NG ��r•� City: Zip: � <br /> Contractc�r'sName: ''''S �105 DAM�LS ST. TelephoneNumber: �{ ; -•�i�;� <br /> MailingAddress: � • � g�� �94 City: Zip: <br /> ��. <br /> , . _;,�- �� ;�. , <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 x <br /> Dishw.sher Wet Bar <br /> Sillcocks Misc (list) <br />