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.�,c� City of Orono FOR CITY USE ONLY <br /> . ` �O P.O. Box 66 Date Received: � � �(o .-��s7��� <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permlt# ��l /((' <br /> y�^�q ��c> (952)249-4600—Main Approved By: lZ�� � <br /> KfSHO (g52)249-4616—Fax <br /> Amount$: J� ' � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for 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 VALID <br /> UNTIL YOU RECEIVE 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 <br /> residing 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 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(Check All That Apply) <br /> d Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs Q( Replace <br /> , � <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address:����_�� � %��-,.c��r /-�(�L� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: lv��.-!� irl�c s` l,.� �� ��- Contact Persorr: �`l`��1� <br /> Address: %/s"�,'�'di����f r-��e ic�!=.cJ State Bond #: <br /> City:pf ��L���,�c'��_ ����c,� Zip: �5�c-�`Z Expiration Date: <br /> Phone: �o�Z `7Z 3 �/l-��' 7 Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />