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� <br /> r <br /> z <br /> C1TY OF URONO APPLICATION FOR PLUMBING P�RMIT <br /> }Sox h6 (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 retum 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 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 item� on this application. Compute the permit fee. Sign and date <br /> ' the certificatiaii. INCOr9PLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> Please check one: New ,� Addition Repair Replace ; <br /> Residential Commercial r <br /> JOB SIT�:• %'7��7 PG•�� Q^ Zip: <br /> Owner's l�Tame: � �- Telephone Number: <br /> Mailing Address: ��{y 7 �.-L �--� City: Zip: <br /> Contractr�r'sName: S� -e.,r�'.� � ..•�1��� TelephoneNumber: y7�S.3 nG <br /> MailingA.ddress: �� �� ��'tt �,o,.-�. ��I City: }'►�� ,,,,�f Zip: c s�6 5� <br /> PLUMBING FIXTURE SCHEDULE <br /> 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 /> Disposal Water Softener <br /> Dishw:sher Wet Bar <br /> Sillcocks Misc (list) <br />