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� � <br /> ,�. <br /> �1, <br /> � <br /> C1TY OF UIt.ONO APPLICATION FOR PLUMBING P�RMIT <br /> Box 66 (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <br /> GENF,RAL 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 return 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 /> Instruction,� Complete all items on this application. Compute the permit fee. Sign and date <br /> the certification. INC01�9?LET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New � Addition Repair Replace <br /> � Residentia Commercial <br /> JOB SITE• /�D c'1 �/ /��� �1� Zip:553�G <br /> Owner's Name: .o y S�,/l�',�?�m( Telephone Number: 73��O <br /> Mailing Address: �p l ��'�l ,v City:��/��l_,¢,�'�� Zip:_�5�5'G <br /> Contractor'sName: �'�� TelephoneNumber: <br /> MailingA ddress: City: Zip: <br /> PLUMBING FIXTURE SCHEDULE <br /> FIXTURt: 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 /> Dispos.il Water Softener <br /> Dishw.�sher Wet Bar <br /> Sillcocks Misc (list) . <br /> �" �f� ,l/�✓� 7C� �C1%Si 4 i� � <br /> ��,� ���j�L c� �, �`tf/�/�72. <br />