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C1TY O� URONO APPLICATION FOR PLUMBING PERMIT <br /> �lox b6 (2750 Kelley Parkway) . <br /> Crystal Say, NIN 55323 <br /> GENERAL INFORMATION � <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cazds 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 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 /> Instruction� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> . the certificatioii. INCOlV1PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New ✓ Addition Repair Replace <br /> Residential Commercial <br /> JOB S1TE: _ 3$Ys' /'L��L .r�,� 9� Zip; sss 6y <br /> Owner's Name: �'�:3z Telephone Number: <br /> Mailing Address• f,.,k� City: oro-.n Zip: <br /> Contract�ir'sName: G���.� �/6� r.� TelephoneNumber: ��a• a s Y r <br /> MailingA.ddress: �y�o ,?edwo•�l' s/ City:�'.�„ t2��•,��, Zip:' .�y,ss <br /> 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 Z, Floor Drains <br /> Lavatory 3 Sewer Ejector <br /> Bathtub � Laundry Tray / . <br /> Shower � Washer / <br /> Kitchen Sink / Water Heater <br /> Disposal / Water Sohener <br /> Dishw:,sher Wet Bar <br /> Sillcocks / Misc (list) <br />