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08/19/2013 14:18 FAX 9529335049 CULLIGAN MNTKA �005 <br /> �R CI Y USE ONLY /� <br /> /,y4��� City of Orono � J3 /� �� <br /> /O A Q� P.O.Box 66 Date Recaive • Permit� �(//3 <br /> , + oyX;�� 1 2750 Kelley Parkway dp� <br /> ( n tH �_ � Crystaf Bay,MN 55323 Approved By: Amount$: <br /> �� ��� (952)249-4600 <br /> ��o�' <br /> CITY OF ORONO—PLUMBING PERMIT <br /> (AU Commercial permits must be approved by the Buflding O�cia]or Inspector) <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications witl be <br /> reviewed and a perrr�it will be issued within two working days. <br /> 2. Permit cards witl be sent by return mail after a review is comp}eted, PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Cail(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMTT <br /> Check All That A 1 <br /> �Residential ❑Commercial(Approval Required) <br /> �NeW ❑Additional ❑Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need Arior aunroval and may need CUP.(Per Orono City Coda,Chapter 78,Artide IV) <br /> Job Site/Owner information: <br /> Site Address: a�OV b�~ � '`� <br /> Owner: Ma{� ��r��-�q Mailing Address: <br /> �;ty: zip: ss s b <br /> Home Phone: (�1 a - S��a- y 9 a 5 Alternate Phone: <br /> Contractor Information: <br /> ���tr,�N ;n�,n-r�R CONDITIONING Contact Person: <br /> 6p3C1 CULLIGAN WAY <br /> Addre{�4n}gyETONFCA. MN 55345 State Bond#: <br /> (952) 933-7200 <br /> '�ty; Zip: Expiration Date: <br /> Phone: Alternate Phone: _95�-9�3�1 <br /> ❑ Insurance—Current: <br /> 1 <br />