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CITY OF URONO APPLICATION FOR PL[TMBING PERMTT <br /> �lox b6 (2750 Kelley Parkway) <br /> Cr3'stal Bay, NiN 55323 <br /> GENERAI,INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry offices. <br /> 2. Permit cazds 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 TH� 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 permif:must be obtained. <br /> 5. All work must be done in accqrdance 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 /> Instractio�a Co:nplete all items on this application. Con�pute the permit fee. Sign and date <br /> the certificatiail. INC011�LET� APPLICATIONS WILL NOT BE PROCFSSED. If you have <br /> questions, ca11473-7357. <br /> Please check one: �New Addition Repair Replace <br /> : � Residential Commercial ' <br /> JOB SITE: 3_�����''� t���C_..�t�►V�`� Zip: <br /> Owner's�1ame:�Vsk Wo�o�1e_��az.. . ' Telephone Number: <br /> Mailing Address:l�kt'1�ortlire.'�,'�W. ' City: O�O��,_ Zip: c�5311 <br /> Contract��r'sNam . TelephoneNumber: �, ,.1-�11 : <br /> MailingA:ddress: l�� CitY: CR�ka�: ZiP: �53�#� <br /> PLUMBING F�TURE SCHEDULE <br /> FIXTUR.E BSMT 1ST 2ND OTHER FIXTURE ' ESMT 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 � <br /> Kitchen Sink ' Water Heater <br /> Disposal Water Softener <br /> Dishw,�sher � . Wet Baz . <br /> Sillcocks Misc(list) �' <br /> � t�'� �Gt�"�+�,�R� <br /> a�Cs. <br /> b Pa�+ <br /> �� �����. <br /> -�' t��, �ru�w w "`�`' <br />