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. � <br /> � � � � ��� <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING PERMIT <br /> Box 6b (27�0 Kelley Parkway) �EC�- <br /> Crystal Say, MN 55323 <br /> APr� ;. , ��yt <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. � '� � t ::%�� ., ` '.. <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 /> 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 certification. INCOI��PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair Replac <br /> Residential Commercial <br /> � QL��N �GQT7 <br /> JOB SIT�: $$5 FERNDRLE RORD WEST Zip: <br /> Owner's 1�Tame:_pR�NO , MM 55351 Telephone Number: <br /> Mailing Address:H���-���� � City: Zip: <br />� Contractur'sNam�RB����� t'�-����=��"�� � � TelephoneNumber: <br />, MailingAddr�` �'t �B12� g�7_40�3 ^r` City: Zip: <br /> �5�5 �ARFIELD A� . ��- <br /> t�n�r�NE���.�BING FIXTURE SCHEDULE <br />� FIXTURk: 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 Wash <br /> Kitchen Sink Water Heater <br /> Disposal Water So ten <br /> Dishws�sher Wet Bar <br /> Sillcocks Misc (list) <br /> PIORBLfi�1 i'L'Jti'��'�"!3 ,^•O. <br /> pgq �iENTC0612�827N4�33f�STALLERS <br /> ��i�A�NNE F'OLI$AMN 5b QSH � <br />