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� `i��``' <br /> C1TY OF URONO APPLICATION FOR PLUMBING PEItMIT <br /> Box bb (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Pernrit cards will be sent by return mail after a review is completed. PERMIT5 ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMiT 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 /> Instructions Co:nplete all items on this application. Compute the.permit fee. Sign and date <br /> the certificatioii. INC0119PLET� APPLICATION5 WILL NOT BE PROCFSSED. If you have <br /> questions, call 473-7357, <br /> Please check one: `New Addition . Repair � Replace <br /> Residential Commercial <br /> JOB SITE: 3�s � i�iU✓1/1.f'� !�/1�/�'IJtJI,Q� Zip: <br /> Owner's Name: �.�C A��,�,,,, Telephone Number: <br /> Mailing Address: �` � City: Zip: <br /> Contractar'sName; , . ` TelephoneNwnbers�1�a-yqS°I <br /> MailingA.ddresss City:/Y1�uhc�_Zipt SS36y <br /> PLUMBING F�'fURE SCHEDULE ` <br /> FIXTURF 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 /> Dishws,sher Wet Baz <br /> Sillcocks Misc (list) <br />