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K <br /> � . ° ����� <br /> ,%�� <br /> �? ��a�R<� <br /> C1TY OF UI�.ONO APPLICATION FOP�;�LJMBING PERMIT <br /> Box 6b (2750 Kelley Parkway) <br /> Crystal $ay, NIN 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 requireri. <br /> Instructioii,� Co:nplete all item� on this application. Compute the permit fee. Sign and date <br /> the certification. INCOMPLETE 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 SITE: �,� r`�5-'' �.it.P��- � „��� %2�/ Zip: <br /> Owner's 1�1ame: /� Telephone Number: .¢�q_���,� <br /> Mailing Address: CUSTOM PLUMBING INC. City: Zip: <br /> Contractor'sName: � 05 DANIELS ST. TelephoneNumber: �4�j�d/4 �' <br /> —. - <br /> MailingAddress: • • City: Zip: <br /> 9 . . <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2I�ID 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 Bar <br /> Sillcocks Misc (list) <br />