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! , <br /> C1TY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> ���s bb (27�0 Kelley Parkway) <br /> Crystal Sav, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing pemuts by mail or in person at the City offices. <br /> 2. Permit cazds 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 /> Instruction,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCO:���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 STI'E: ..�6.zv �•L;,�,�v,� �;'/ee� s� Zip: SS�39 <br /> Owner's l�Tame: �j,�.��•, Telephone Number: <br /> Mailing Address: �6.� f:�%<r sf City: o ro� Zip: ss3S-9 <br /> Contraetc�r'sName: 6ro-baw �/6y .�c TelephoneNumber: �g6•..�s�-� <br /> Mailing A ddress: £�Y�u ��(�„tl�./ � City: C�o� R�:�s Zip: ssy�.3 <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE 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 />