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. • , r � <br /> ��,,ON City of�rono �o�t G�t�r usE otv�� <br /> � P.O.Box� Date Received: <br /> 2750 Kelley Parkway <br /> -� �. Crystal BaY,MiV 5532� Permit# <br /> ��"', c,` 952 249-4600-Main <br /> '�ti"�rsHi�a`` (952)249-4616-Fax APP!'OVed 8y: <br /> � Amount$. <br /> CITY OF ORCSNO-PLUMBING PERMIT <br /> I(All Commercial Permits Must be Approved by the$tate Prior to City Approval) <br /> h#� :llww►�r. i�,mn. c��l��l.�f�C3�l s €utn� 1anr�v� . rtf <br /> GENERAL !N URMATiON <br /> 1. You may appty for plumbing permits by ma�il or in person at fhe City offices. Appiications wi(i be <br /> reviewed and a permit wiil be issued within two working days. <br /> 2. Permit cards wiit be sent by return mail after a review is compfeted. P�RMITS ARE N07 VAUD <br /> UNTlL YOU RECEIVE A PERM(T. WQRK MUST Nt)T BEGIN UNTiL.THE pERMtT CARD!S <br /> POSTEQ QN THE JOB SiTE. <br /> 3. Plumbing perrnits may be issued ONLY to ticensed p{umbing contractors and to property owners <br /> residing in the dwetling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be ob#ained. <br /> S. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is cavered. Call(952)249-4600. <br /> (24-48 hour notice required} <br /> TYPE OF PERMtT(CheeEc AlI That APA�Y) <br /> '"�[Residentia! ❑ Commerciat(Approval Requfred} (Bflckflow I)evice:Q AVB ❑PVB] <br /> 1 ' <br /> ❑ New ❑Additionat ❑ Repairs � Replace <br /> ❑ �n Accessory Structure? <br /> "'You will need prior aoqrova(and may need CUP. (Per Orono City Code, Ch�pter 78,Article!1� <br /> Job Site/Ownec tnformation: <br /> Site Address: � � �.,� ' ��U�.C� <br /> C}wner:_ �'��=Q�- Mailing Address: i <br /> City:-�.�,.���.— Zip: __���' J�c,�� <br /> Home Phone; Alternate Phone: <br /> Con#ra�tor Infarmation: <br /> Contractor:�������� Contact Persan: �..J� ���,�.Q ���Y,.�:'.�''t <br /> � � <br /> Address: ���� ��Y1��� ��.r_.�State Bond#: ��1�� t� <br /> � � <br /> City: �--��� � t�Y�- Zip: ����2- Expiration Date: � �� <br /> Phone: � ' �� Atternate Phone: <br /> �1J Insurance-Current; �.� <br /> Paqe 1 <br />