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, <br /> . <br /> C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }Sos b6 (27�0 Kelley Parkway) <br /> Crystal Eay, 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 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 rcmodeling 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:npletP all item� on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCO:�7�LETE 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 STTE: Z�S'1.;` 1��►a H /CvH 1�� �. Zip: <br /> Owner's l�ame: w,,�d�, �.�,�L„ Telephone Number: �,(!/� �j�' � � <br /> Mailing Address: City: Zip: <br /> Contractor'sName: Q��' c,�u.,, n, f� TelephoneNumber�/2-�Sr�-�lOL <br /> MailingA.ddress: � i,�, City: �o r �-.• ��-. Zip: �',"ai� <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2IVD 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) �v�� <br />