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. ���' <br /> ^ � <br /> � <br /> C1TY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT <br /> Box 6b (2750 Kelley Parkway) <br /> Crystal Say, 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 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,� Cu_nplete all item� on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCOA7PLET� 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 5ITE: �.�� Zip: <br /> Owner's Name: t u� �°�� � Telephone N�mber: ��-s'�—D�!�/ <br /> Mailing Address: j�l S�a C,�� 78`� • i;ity:�-���' ������-�ip: ,� .S3 y y <br /> Contractar'sName: �.,�,�r S�DC u��3�� � TelephoneNumber: ��/�- 7��' � <br /> MailingA.ddress: f Z� �� Z����-N J�- City: .�r�,;.=K�c Zip: S�3�� <br /> PLUMBING N'IXTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet o� o� I��A£T Floor Drains ��S <br /> Lavatory i� 3 0� Sewer Ejector <br /> Bathtub l OZ Laundry Tray � <br /> " Shower �. � �.� Washer <br /> Kitchen Sink If Water Heater �- <br /> Disposal �-- Water Softener /� <br /> Dishw:�sher Wet Bar � /1 <br /> Sillcocks � Misc (list) <br /> f �// `�,2/c�11T%D� �//�E- <br /> � �.lr): C/��2�� �'�l E �k��t� <br /> � <br /> I <br />