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. • <br /> ;i�pN�� City of Orono FOR CI USE ON Y <br /> O �. P.O. Box 66 Date Received: -/ <br /> ', 2750 Kelley Parkway �� �G � 1 <br /> `, �� :, '� Crystal Bay, MN 55323 Permit# L� /�— � o� <br /> 1 � (952)249-4600—Nlain <br /> ��`��., �t`�' Approved By: <br /> `�."t����� (952)249-4616-Fax <br /> Amount$: �� � <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:/lwww.dli.mn.qovICCLD/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 /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article I� � <br /> Job Site / Owner Information: � <br /> J'�o � � <br /> Site Address: �` �� J`�� Gl <br /> � � � � � <br /> l� � / � `� <br /> Owner,!/Gf�� '�L�'�/►6 �C�(�'�'����Ulailing Address: �l'�I�' � <br /> � r � <br /> City: , � `l���C� zip: ����c� <br /> Home Phone: Alternate Phone: � <br /> Contractor Information: <br /> Contractor: X '' . �1 �� �-� Contact Person: ��u�-� .�{Z�( �l� � �` <br /> �' U <br /> Address: � 7�, � ��r��,� ,,� �/'Ci State Bond #: ���74 5 - 5g'�� <br /> T:�r' <br /> r "' <br /> City: �`�,/� �''Z-�- Zip: J�.31� Expiration Date: � <br /> ` , � <br /> Phone: (U ~' �Lc?3� Alternate Phone: � <br /> , r \ <br /> �] Insurance — Current: �� �� �G � <br /> ( ' ; �„�titi���e� �— C��35 g�' <br /> 1� Y 1 \� Page 1 <br /> � <br /> � �1 � � 1 <br /> ��2� Ol��Y111a , �r�C . � �C�C�� 7 ��(��- � <br /> � <br />