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� o �� <br /> . � / <br /> s C1TY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT � <br /> �ox bb (27�0 Kelley Parkway) <br /> Crystal Sav, MN 55323 <br /> ; <br /> GENERAL 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 F <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POST�D 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 pernut 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,� Co�npletP all items on this application. Compute the permit fee. Sign and date <br /> the certificatiaii. INCOMPLET� 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 /> ; . <br /> JOB SI1'E• � � ,�;�< '� �`' :� Zip: <br /> Owner's R1ame: ;��,'. ���- �����;� Telephone Number: � <br /> Mailing Address: ����-�•° City: Zip: <br /> Contractar'sName: ��. i�� <� � - � r �"f��; TelephoneNumber: .�7s��%�`�.0 <br /> MailingA.ddress. � _ . -. % - City r �� Zip <br /> s <br /> PLUMBING FIXTURE SCHEDULE <br /> f FIXTUR.E 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 /> � <br /> Disposal Water Softener <br /> Dishw;�sher Wet Bar <br /> Sillcocks Misc (list) <br /> UllCvU��n, �jrr,l�'r:'✓ ��+� d Y�n �rf'j� .1�1 /� ���' <br />