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F ITY USE ONLY <br /> �O A' City of Orono Q <br /> �y P.O.Box 66 Date Receive D Permit# a�3'b a� <br /> O 2750 Kelley Pa��E1VED j <br /> Crystal Bay,M Approved By: Amount$: � . <br /> � ' (952)249-4600—Main <br /> (952)249-4616— 1 2 1^3 <br /> yF �` �Y �F�ORONO—PLUMBING PERMIT <br /> ��kES HO�� (All Cor�a��i-►���de Approved by the State Prior to City Approval) <br /> htt�://w�vw.dli.mn. rov/CCLD/PDF/ e lumb lanreva . c1f <br /> GENERAL INFORMATION <br /> 1. You may apply far plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UIYTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB S[TE. <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. Call(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �esidential ❑Commercial(Approval Required) <br /> ❑ New ❑Additional ❑ Repairs �eplace <br /> ❑ In Accessory Structure? <br /> *You will need nrior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site /Owner Information: <br /> Site Address: Z ls0 ��vS�Pc� �✓C <br /> ^ � � L� � v�'t frt�/e <br /> Owner: �12 ) �p� Mailing Address: Z � r"d S'� <br /> . <br /> City: ('r'�'Lp - Zip: �SZ `9 � <br /> . . <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: .S -bJ �ec�/1 Contact Person: ��/ <br /> Address: '�1�t7 � State Bond#: �QC���a�� <br /> City: �eJ� Zip: Expiration Date: �Z' 3 � �� � <br /> Phone: `'l�l 'S13 �Z-��O r Alternate Phone: "` <br /> �P�?� �S 2 �Q��U�v ❑ Insurance-Current: <br /> 1 <br />