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. <br /> , <br /> , ����� <br /> C1TY OF UR.ONO APPLICATION FOR PLUMBING PERMIT <br /> Box 6b (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 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 /> Instructioii� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INCOA�PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: X New Addition Repair Replace <br /> Residential Commercial <br /> JOB SITE: ��s' G« �' s �- Zip: <br /> Owner's 1Vame: -�-„� �,'. ��P' Telephone Number: ��� �s�y <br /> Mailing Address: �:a r.-,�- City: �� Zip: � I����o <br /> Contractor'sName: w�t d d Sa r i p��y TelephoneNumber: -ss i-�y�� �� <br /> MailingA.ddress: ��a� � so t° ,p/ . nJ - City: P/� Zip: ss{/�>2- <br /> PLUMBING FIXTURE SCHEDULE <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 Water Softener <br /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) <br /> gQi�c'�a:v ���upn�'�r 1"a•l �4W/f �fllqoTiz�1 <br /> J <br />