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� ��f< < � � <br /> � CITY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> }Sox bb (2750 Kelley Parkway) <br /> Crystal Ba,v, NIN 55323 <br /> GENERAL 1NFORMATION . <br /> 1. You may apply for plumbing permits by mail or in person at ttie 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 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 rcmodeling 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 reequired. <br /> Instruction� Co�nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, cal! 473-7357. <br /> Please check one: New Addition �_ Repair .�1._ Replace <br /> �— Residential Commercial <br /> JOB SI1'E: .3� 9� �YRr c. A�/ � G n.o a o Zip: .��' 3�3 <br /> Owner's Name: 7"e�i Ij uR ,Y Evi k Telephone Number: y�3 - Sf 8'4 <br /> MailingAddress: a 2. ys F r{��,c�, c.gx+ J���o Citys �vAy.�dt� Zip: sr39i <br /> � Contractar'sName: To�i /���rL N�v,k TelephoneNumber: ��� -ss&�a <br /> MailingA.ddress: ,�� �s r2��►c,� �_.d.k�- ��vr�, City: w.9-y��-t� Zip:, �5'�3� 3 <br /> f�`J�'/L:S f�LviyG'/N6 1316 �c� ��'S7` Sr ,BvFFisLo .F,w. 5s3/3-4d>�_ 6/�--6 f.� -5�1// <br /> ; �V�,L L g�`�.v�- o�,�:,� PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE BSMT 1ST 2ND - OTHER <br /> TYPE FL 'FL TYPE FL FL , <br /> Water Closet Floor Drains -x <br /> Lavatory ?( ' Sewer Ejector <br /> Bathtub X Laundry Tray 'X <br /> Shower Washer <br /> Kitchen`8ink x Water Heater �( <br /> Disposal Water Softener <br /> Dishw��sher X Wet Baz <br /> Sillcocks x-a.. Misc (list) <br />