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� <br /> � <br /> � , <br /> C1TY OF UItONO APPLICATION FOR PLUMBING P�RMIT <br /> }Sox 6b (27�0 Kelley Parkway) <br /> Crystal Say, NIN 55323 <br /> GENERAL INFORMATION <br /> l. 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 /> FOSTED ON THE JOB SITE. <br /> 3. Plumbing pemuts 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. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. � ,� .�' <br /> �� - `f" �� � <br /> Please check one: �� �w Addition Repair Replace <br /> uResidential Commercial <br /> ��� <br /> �;'' ` JOB SITE: 3y(>G� �G'}� �?� Zip: <br /> Owner's Name: ,C�G7 UL S��! Telephone Number: <br /> Mailing Address: City: Zip: <br /> Contractc►r'sName: r� ; �;;;' �'-�` -�� , ,; �` Tele honeNumber: y2`�'— :Z ��/� <br /> MailingA ddress: ��,��, �3 ' p��<- it✓ City: 'r G�ti/y� Zip: 5'� `/� � <br /> , .���� , <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> -7 � <br /> Water Closet � .✓ rioor i�rains <br /> Lavatory � � Sewer Ejector <br /> Bathtub �, Laundry Tray <br /> Shower � 3 Washer <br /> Kitchen Sink � Water Heater 3 <br /> Disposal � Water Softener � <br /> Dishw.�sher � Wet Bar / <br /> Sillcocks Misc (list) <br /> ! ` <br /> � '. <br /> a <br />