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.� <br /> f <br /> ._..,, ____._._ .... _. �, ,_-� ` <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING P�RMIT <br /> �ox 66 (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> I�':�,`� 2 1 � `'�'�, <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 /> POST�D ON THE JOB SITE. <br /> 3. Plumbing pernuts 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:��ork must be insnected 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. INCOI��PLET� 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 SITE: �' ����/ f ,l�,,f',� �ST Zip: SS 3a 3 <br /> Owner's IVame: ,l��4���� Telephone Number: <br /> Mailing Address:�� ,5?,S ;,��tj�/,E City: --� Zip: --� <br /> Contractc►r'sName: ,(�¢,�',E'�/Q.E �,l1�L t�'� �T�" TelephoneNumber: �sy-7600 <br /> MailingAddress: /ay65 Z✓.cJ,P.S� �d,E City: Sf�1vAG� Zip: S537d' <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT iST 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 l Wet Baz X <br /> Sillcocks Misc (list) �( 614SR��`� <br /> �,� <br /> G� <br />