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�( .5�,' �1 i�;1 -�- <br /> ,` � <br /> � �,��, C o BoX Orono RECEIYEt� FOR CI,T,�'USE ONLY <br /> , Date Received: / '� �/,� <br /> ''� ` 2750 Kelley Parkway <br /> � r a � Crystal Bay, MN 55323 JUL z 7 ZQ��, Permit# ��� �—���4 <br /> ,, y�` � <br /> �� �c,� (952)249-4600—Main A roved B <br /> kt�Hua (952)249-4616—Fax pp y' <br /> �(pF ORONO qmount$: �a. 7 <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:flwww.dli.mn,qov/CCLD/PDF/pe plumbpianrevapp.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 retum 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 IV) <br /> Job Site / Owner Information: <br /> Site Address: �.�.�lU �C� � � , <br /> Owner: �J GLv�n tJ S�,�-h Mailing Address: ��C� ��x-.r�� '�. <br /> City: V��u�nL�� Zip:���� I <br /> Home Phone:� � } "�') ��-1 ' ��y�;�- Alternate Phone: <br /> Contractor Information: <br /> Contractor: �_�I\�r•�,�v-�,�.,���-� �r��. Contact Person: "�ll'� �cW��+�,� <br /> Address �l�l 1 �k��Lir�r� St. N�, State Bond #: ��.i���`'�'�`��~= <br /> City:-H(�w� )�i 'N'�'� Zip: .��L��`-� Expiration Date: <br /> Phone: �I���`��`�� �-1�'"1� Alternate Phone: <br /> �nsurance - Current: <br /> Page 1 <br />