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� <br /> io ��� <br /> CITY OF UI�.ONO APPLICATION FOR PLUMBING PERMIT <br /> }�oY b6 (27�0 Kelley Parkway) <br /> Crystal Sav, MN 55323 <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST IVOT 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 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 /> Instructioiy� Co_npletP all items on this application. Compute the permit fee. Sign and date <br /> the certificatioii. INCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call 473-7357. <br /> � <br /> Please check one: New Addition Repair � Replace <br /> � Residential Commercial <br /> JOB STTE: ��0 7L� �}��1�'�}-Nl� �i7 Zip: <br /> Owner's Name: ,'j e ���N�6�, Telephone Number: ��!- 0�;'7 3 <br /> Mailing Address: ���. City: Zip: <br /> Contractr►r'sName: �,�p��pM ��P�ir�.��, TelephoneNumber: �3� �� �� <br /> MailingA.ddress: �,��;F ��i2.r-i�L�7 1}vC S City: /��� L�- Zip: �5 D�; <br /> PLUMBING F�TURE SCHEDULE <br /> , <br /> FIXTURF 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 x <br /> Disposal Water Softener <br /> Dishw�sher Wet Bar <br /> Sillcocks Misc (list) <br />