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� <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �us 65 (27�0 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. 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 pemuts 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. INC01�9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New !/ Addition Repair Replace <br /> �j Residential Commercial <br /> JOB SITE:,���� -��'%/j�-, �i i, � Zip: <br /> Owner's I�Tame:('�L„_��s �'� ����I-�•-, �tz� _Telephone Number: <br /> Mailing Address: .2'7 /���,� ���,-� City: Zip: <br /> Contractc►r'sName: ! �?. , �, TelephoneNurn�l�er: y7%-1�a r Z <br /> MailingAddress: ,S,,�S� �- � � City:�%%,���- t�;,,�lp: ��`> �j <br /> , <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURF BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet <br /> � 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 />