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03/i5/z018 THv 1a: 36 FAx 763 a73 8565 Sabre xe�ting e �r Cond f�002/006
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<br /> �,pN Clty of Orvno ' .;.,,� , .;,,,;' �Oh c� s 'Y�' ; , ;
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<br /> 27601GaIley Parkway ;PQI'�'!It'��'LL '��'��"�p� � �
<br /> .� � Crystal Bsy,MW 55323 �",���� �,
<br /> s� � (852)2a8-46U0—Mal� ,;,';, '�,.;;",;;,.,,1'; .F, , ,;, ,.,
<br /> K��s��pa (952)249-4619—Fax ;A�pr,oV�r�R,y ' ��•.
<br /> �Am'ount� ��; 'Q, '
<br /> CITY OF ORONO—PLUMBING PERMIT
<br /> (All Commeraal Permlts Must be Approved by the State Prinr to Clty Approval)
<br /> httD://www.dll.mn.s�ovICCLD/PDF/ne plumbplanrevapn.adf
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<br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wilt be
<br /> reviewed and �permlt will be issued within two working days.
<br /> 2. Permit cards will be sent by return mail after a review Is completed. PERMITS AR�NOT V,ALip
<br /> UNTIL YOU RECEIVE A PERMIT. 1NORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
<br /> POSTED ON THE JOB SITE.
<br /> 3. Plumbing permlts may be issued ONLY to licansed plumbing contrectors and to property owners
<br /> residing in the dwelling.
<br /> 4. When any new canstrucqon or remodeling is involved,a separate building permit must be obtained,
<br /> 5. All work must b�done in�ccordence with State Code requirements.
<br /> 6. Aff work must be inspected and air tested before it Is covered. Call(952)249-4fi00.
<br /> (Z4,48 hour notice requlred)
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<br /> �h.� I"' "��..i';pn') i�' ,i'„'�I'^I�il'.�y.l,� ���V� 1'VU�:���c����',An fN��A�,b'��I��1'Ai'�i'F1�1'/'�T�,..���',,,�'„���;: i�� i I�J.'�� i 'i��,�1 �r,'%;f�;
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<br /> � [�Residential ❑Commeroial(Approval Raquired) [Backflow Device:�AVB ❑PVB]
<br /> [�New ❑Addltional ❑ Rapairs 0 Replace
<br /> ❑ In Accessory Structure?
<br /> "'You wlll need n�lor apnroval and may need CUP. (Per Orono City Code, Chapter 78,Artlde IV)
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<br /> Site Address: �J565 �OWlA.1�i►ll �Y►V,U �
<br /> �wner: Mailing Address: '
<br /> City:__ . __ _ Zip: '
<br /> Home Phone: Alternate Phone:
<br /> iS��Y';1\'.�1�r�.�A1Wl'�r•+�,� .IT�''TI{I11��'F1.��h�i� �!M1ll.i.fi`l^� N,il�i
<br /> �4� �I�N i ����a
<br /> Contractor: ,�01�1�� p��p► v �1�� Contact Person; �M�dM
<br /> Addr�as: 1�3h IYV1,t�lN.�t. � State Bond#: ��,1��153�(•A
<br /> City: _.��V1YY16k��1_'"1 �Ip: �5 Expiraiion Date: �'1 31•7.O1�
<br /> Phone: �f i�•�'~13•Z�(�7 Altemate Phone; `�Ile 3•Z53•+�y�'
<br /> , [�Insurance—Current: �Lh �
<br /> Psge 1
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