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C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Say, 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 cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMTT. 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 sepazate building pemut 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. Ca11473-7357. 24-hour notice required. <br /> Instructiona Co:nplete all items on this application. Compute the permit_fee. Sign and date <br /> the certification. INC0119r LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New � Addition Repair Replaee <br /> � Residential Commercial <br /> JOB SI1'E: .��3 ��1�tr��1PY- �c�. ZiP: <br /> Owner's 1Vame:�,�iC� �pS. ' Telephone Number: <br /> Mailing A ddress: 333 d, City: 'Zip:K,��'i�r.c�(' <br /> Contract��r'sName: . , TelephoneNumber: ��-IZb� <br /> Mailin A.ddress: Cit • �av Zi <br /> g l�0 L,aKe Z�.0 C��! Y• �C��S' p: �5�1 <br /> : , , <br /> PLUMBING �'II�TURE SCHEDULE <br /> FIXTUR.6 BSMT 1ST '2ND OTHER FIXTURE BSMT 1ST 2NI) OTHER <br /> TYPE FL ' FL' TYPE FL ;FL <br /> '`Water Closet F1oor 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 Baz <br /> _ k4.�r ` <br /> Sillcocks Misc (list) �,; � <br /> � <br /> 7 `� � <br />