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, ����30 <br /> 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 pernuts by mail or in person at the City offices. <br /> 2. Permit cards will be sent by retum 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 required. <br /> Instructioi�,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOl��PLETE 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: �. ( (� ` �P_�1�f �`°� . Zip: <br /> Owner's Name: T�d S e�\�e Telephone Number: y 7� - 7$� j <br /> Maili� CUSTOM PLUMBING INC. City: Zip: <br /> Conti TelephoneNumber: y�(9 - o� '1�7 <br /> 2105 Daniels St. City: Zip: <br /> Maili: P.O. Box 694 <br /> Long Lake, MN 55356-0694 __� SCHEDiTLE <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND 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 ater Softener� � <br /> Dishw.sher Wet Bar <br /> Sillcocks Misc (list) <br />