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1 <br /> . " ���� <br /> -� <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> }:loY hb (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. 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 /> 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 invoived, a sepazate building pernut 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 /> Instructioi��� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLET� 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 SIT'E• :c�� I'C' "�"k�':� c� . i� Zip: �`-�j.3�j'J <br /> Owner's R1ame: �' -5, Telephone Number: �-,%�'3--�S�) <br /> Mailing Address:�`L -;f l�,o� � > �'�l• City: ..% � ��_ Zip:�,�� <br /> Contractr�r'sName: � �� � �.(A, , TelephoneNumber: y�� /�(i ' <br /> MailingAddress: ti�� Lu�-e. �.iC�- k City: �-�i�'lo,� Zip: :��5�3( <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTUR.E 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 /> t <br /> Dishw.�sher Wet Bar r � <br /> Sillcocks Misc (list) <br /> E <br />