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r ' <br /> r <br /> CITY OF UR.ONO APPLICATION FOR PLUMBING P�RMIT - <br /> u��s 66 (27�0 Kelley Parkway) <br /> Crystal Sav, 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 pernuts 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 /> Instructioii� Co:npletP 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, ca11473-7357. <br /> Please check one: New �ddition Repair Replace <br /> ✓Residential Commercial <br /> JOB SITl;: /yD �c,f6��� Zip: <br /> O�vner's 111ame: / �;�/enc e Telephone Number: <br /> MailingAddress: /yo /�ac/Sber�y t-l:�l City: o,-a�� Zip: <br /> Contractr�r'sName: C��.b.,a Pr6 .z�.,� TelephoneNumber: ��b• 39S/ <br /> MailingA.ddress: �y�� �7e�'�,�,� .r� _City:�� �2•�:�s Zip: SSy33 <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURk: BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Wate� Closet ! Floor Drains <br /> Lavatory f 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 />