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Gd/( <br /> n� c�r� <br /> . r� r`-�a,�„ o� <br /> �._�. �,� <br /> . ` \",`J!�l <br /> •'�% <br /> C1TY OF URONO APPLICATION FOR PLL;�MBII'Q�P��T <br /> Box hb (2750 Kelley Parkway) � , '�159? <br /> Cry�tal �ay, MN 55323 ' <br /> GENERAL INFORMATION <br /> L You may apply for plumbing permits by mail or in person at the Ciry offices: <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECENE A PERMTT. WORK MUST NOT BEGIN UNTII, THE PERMIT CARD IS <br /> POST'CD ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors aad to property owaers 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. Ca11473-7357. 24-hour notice required. <br /> Instruction� Coa�plete all items on this application. Compute the permit fee. Sign and date <br /> the certi�cation. INC011�lPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New Addidon Repair �Replace <br /> Residential � Commercial <br /> JOB SITE: o�0 �..o w,a �.'�v.��. `--�+`^e- Zip; <br /> Owner's Name; S��. �i n��c � Telephone Number: c:.t'j�,- �,3 K 6 <br /> Mailing Address: Ci 7� ; <br /> t3' � <br /> P' <br /> - - .r _ �__.. -___ _ �,_ , • <br /> �� TelephoneNumber:_ �-►�y g -c�!y 7 <br /> CIiSTOM PLUMBING INC. � � <br /> 2105 Daniels St. Cl�'' p� <br /> P.O. Box 694 G FII�TURE HED E <br /> Long Lake, MN 55356-0694 <br /> FIXTURE BSMT 1ST 2ND OTHER FIXTURE BSMT �1ST 2ND OTHER ' <br /> TYPE FL FL . TYPE FL FL <br /> Water Closet Floor brains <br /> Lavatory 5ewer, Ejector <br /> Bathtub Laundry-Tray <br /> Shower Washer <br /> . Kitchen Sink Water Heater � <br /> Disposal Water $oftener � � <br /> Dishwusher Wet Bar <br /> Sillcocks Misc (list) <br /> ��. <br /> � <br /> � <br /> � <br /> � <br />