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t . � -���� 3� <br /> CITY OF UR.ONO APPLICATION FOR PLLTMBING P�RMIT <br /> }SoY 66 (27�0 Kelley Parkway) <br /> Crystal Bav, 1VIN 55323 <br /> GENERAL INFOR1�iATION <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 /> 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 certificatiaii. INCO:�7PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addition Repair X Replace <br /> Residential Commercial <br /> JOB SIT�+,: I ��� �t�x �`�-. Zip: c5� � S � <br /> Owner's 1`�1ame: I�J c l a.� - �c�L,� Telephone Number: ��s� C7 ��(�( <br /> Nlailing Address: 5� City: L,� 1,.r,k�Zip: S�3�(o <br /> Contractc�r's1V�ame: � j� � S Telepho eNumber: �r .�� S� � - ` <br /> � "�'� — �*v �v H.IrY' 3 5�� <br /> NlailingA ddress: �4� S3t=� a 7�-�. ,4 v-e Jl�o City: ��� Zip: S"�S Y�7 <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> Typ� FL FL TYPE FL FL <br /> �Vater 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 /> �� <br /> V�.'..GGt,lJ�VLc (L� ���- "��t� �J�'^ <br /> �/ v�v t t�/`�i �J�-�— �� � ` �2"�'`"`� , <br /> �( i <br /> �J <br />