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Y� <br /> _. . � / <br /> �l� <br /> ��� b <br /> � � �� " <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> ���x hb (27�0 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL IlVFORMATION <br /> 1. You may apply for plumbing pernuts 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 /> POST�D 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 sepazate 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 /> Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatian. INC01�9PLET� 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 SIT�;: (��5 jJ�b0;G�h !�('. Zip: ,-r� � 3 S% <br /> Owner's 1Vame: /��U ���, 5 h�� D C�t Telephone Number: y0 y - �� y;� <br /> Mailing Address-�Ctm � City: Zip: <br /> Contractc►r'sName: � TelephoneNumber: �3 I -`I� � (F <br /> MailingA.ddress: u,,,,Line MN 55343 City: Zip: <br /> , <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.F 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 />