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' v <br /> f � �j � , <br /> � <br /> � � ��. � <br /> C1TY OF UR.ONO APPLICATION FOR PLUMBING P�RMIT <br /> BoY 6b (27�0 Kelley Parkway) <br /> Crystal Say, MN 55323 <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 <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 /> Instructioii,� Co:nplete all items on this application. Compute the permit fee. Sign and date <br /> the certificatian. INCOn9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: fNew Addition Repair Replace <br /> c/Residential Commercial <br /> JOB SI'I'E: `_�(� ��/�k �JZ� Zip: <br /> Owner's Name: Telephone Number: <br /> Mailing Address: f C3- � 1 ' , City: Zip: �77^5'�'U�--�� <br /> Contractc►r'sName: � TelephoneNumber: <br /> Mailing A ddress:��jo� �-��,-c (�'�i C City:�_j���Zip: t�`3 7'� <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 v v� v Floor Drains (/ <br /> Lavatory L' � Sewer Ejector <br /> Bathtub v � Laundry Tray G� <br /> Shower � � Washer ✓ <br /> Kitchen Sink � Water Heater � <br /> Disposal ✓ Water Softener � <br /> Dishw.�sher 1� Wet Bar <br /> Sillcocks � Misc (list) <br />