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'� <br /> ` - � <br /> . .� <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> �l��x 6b (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. 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 pernut must be obtained. <br /> 5. All work must be done in accordance with the State Code requirements. <br /> 6. All H,ork must t;e inspected and air tested'oeiare it is covered. CaII 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 /> Please check one: New Addition Repair �Replace <br /> �Residential Commercial <br /> JOB STTE: � �� �1 k ��('! 1�4 e- �--v'� .. Zip: <br /> Owner's 111ame: d`�'1 e.��v,;� �=�� e s•�ne� Telephone Number: y 7 � �- 1�=�� <br /> M;"' " ' ' City: �ip: <br /> Cc CUSTOM PLUMBING INC. TelephoneNumber: ��-� " �--t�1 '� <br /> M; 2105 Daniels St. City: Zip• <br /> P.O. Box 694 <br /> Long Lake, MN 55356-0694 _;TURE SCHEDULE <br /> _..r,-_:, <br /> ; <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT ,1ST 2ND OTHER <br /> TYPE FL FL TYPE __- "� FL FL <br /> W ater Closet Fioor 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 /> � _. _ ..` �,�;„^� <br /> Sillcocks " ��Misc (list) 1 �:;�z« <br />