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f <br /> ' �` � � � �p�. <br /> � ���. <br /> C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> �lox b6 (27�0 Kelley Parkway) <br /> Crystal $ay, 1VIlV' S5323 <br /> GENERAL INFORIl1ATION <br /> 1. You may apply for plumbing permits by mail or in person at the City o�ces. <br /> 2. Permit cards will be sent by retum 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 Oh'LY to licensed plumbing contractors and to property owners residing <br /> in the dwelling. <br /> 4. When any new cc�nstruction or remodeling is involved, a separate building permit must be obtained. <br /> 5. � All work must be done in aGcordance with the State Code requirements. , <br /> 6. All work must be inspected and air�ested before it is covered. Call 473-7357. 24-hour notice ::qaired. <br /> Instructiou� Co�plete all itein� on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC0:14PLE'T� APPLICATIONS WILL NOT BE PROCESSED. If ye:i hav� <br /> questions, cal; �7? 735', . �m�,� <br /> Please check one: _� New � Addition Repair Re�laee <br /> �_ Residential Commercial <br /> JOB SITE: /po -����G.�.e �-�-e.� Zip: <br /> O�i�ner'sName:�A,.�,.r ���nr.c� ,9�-.� TelephoneNumber: <br /> Mailing Address: �}01 �, L��,1�.,S-�.,�,�- City: Zip: 55�1 i <br /> Contractor'sName��rn�y„� 1 �c�- c�Q,�„ Teleph eNumber: 1��1 � <br /> NiailingA ddress:l�c��,� 1�l�zk�..���r�.���-r-t���itY: ����Zip: —S �l <br /> PLUMBL4G �LXTURE SCHEDULE <br /> FIXTUR.6 BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> '�'YPE FL FL T'�P� FL FL <br /> Wa.,er Closet � �t''lo0c D�a`�.s � / <br /> Lavatory �y Sewer Ejector <br /> Ba[htub � Laundry Tray � _^ <br /> Shower � ��F r� J __ <br /> Kitchen Sink � Water Heater <br /> Disposal Water Softener <br /> Dishw.sher � We� B� <br /> Sillcocks Misc (list) � <br /> /� <br /> �� <br />