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` ' <br /> + <br /> C1TY OF URONO APPLICATION FOR PLUMBING PERMIT <br /> �.tnx fi6 (2750 Kelley Parkway) � <br /> Crystal Ba,v, NIN 55323 <br /> GENERAL IlVFORMATION - <br /> 1. You�may apply for plumbing permits by.mail�or in persoa at ttie Ciry offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMTTS 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. Pli:mbing p�rmits may be issued ONLY to licensed plumbing contractors and to property owners residing <br /> i.; che 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 required. <br /> Instructio�i3 Co�plete all items on this application. Compute the pernut fee. Sign and date <br /> the eertificatiou. INCOA�PLET� APPLICATIONS WILL NOT BE PROCFSSED. If y�u have <br /> questions, cail 473-7357. <br /> Please check one: New Addition Repair ✓Replace <br /> � Residential Commercial <br /> JOB SITE: 3:�c� �ar�r� S�.ov�� �s'>. Zip► <br /> Owrier's Name: , Telephone Number: <br /> Mailing Address: Cit3': ZiP: <br /> Contractor'sName: ( TelephoneN �b��er: 3�6 - 5y3-3�95� <br /> MailingA.ddress: Ssdd s . City: f��u��'�c-Zip: S`�s a Y p <br /> PLUMBING �'1XTURE SCHEDULE <br /> FIXTUR.F BSMT 1ST 2ND OTHER FIXTURE BSMT 15T 2ND OTHER <br /> TYPE FL FL TYPE FL FL <br /> Water Closet � Fioor Drains <br /> Lavatory t Sewer Ejector <br /> Bathtub Laundry Tray � <br /> Shower � Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener <br /> Dishwa�sher 'Wet Bar <br /> Sillcocks Misc (list) <br />