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� � <br /> , �j � v <br /> � �) <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING PERMIT <br /> �loY 6b (2750 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 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 /> Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INC01�9PLETE 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�;: 7 7 �� /U� l'2��,�.��z �F�� Zip: <br /> Owner's 1�1ame: ,j��� �'�,�',/���y�_ Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractor'sName: �'��Q�� /���,��,'�: ��,' TelephoneNumber: ���a-/� �� <br /> MailingA.ddress: '7 a��� �:��, l�. i�o 4� �City: ;�y,'��..�Y� Zip: s"�"?��/ <br /> . <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 /> Dishw.�sher Wet Baz <br /> Sillcocks Misc (list) <br />