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C1TY O�' UR.ONO APPLICATION FOR PLUMBING PERMIT <br /> B�x b6 (2750 Kelley Parkway) <br /> Cry�tal 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 return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS <br /> POSTCD 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 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. Ca11473-7357. 24-hour notice required. <br /> Instruction� Complete all items on ttus application. Compute the permit fee. Sign and date <br /> the certi�cation. INCOA'1'PLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: � New �b _ Addition Repair Replace <br /> Residential Commercial <br /> JOB SITE:_ .��5.y�S .�.✓h `��GL�.-� ' Zip: <br /> Owner's Name: ,;i`.�-�}� ;��, ,��� Telephone Number: <br /> Mailing Address: .3s'��- ,��_ L City: D��� Zip; <br /> Contract�ir'sName: � ,��� „�,b� t � . TelephoneNumber: -y�7� ��?o� <br /> Mail�ngA.ddress: ���s� �/a.�o��.L� Cit3'� 112,o�rcd Zip:ss'34� <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet F1oorDrains <br /> Lavatory Sewer Ejectar <br /> Bathtub Laundry Tray / <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishw.�sher Wet Baz <br /> Sillcocks Misc (list) <br />