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.____ __ <br /> . `�, <br /> �� a - <br /> / �,,O,y City of Orono F4R CI U O <br /> r/ � P.O.Box 66 Date Received: � <br /> ` y�t1 � 2750 Kelley Parkway <br /> �,, Crystal Bay,PRN 55323 Permit# � �,�j � <br /> �"� c` (952)249-4600—Main <br /> '��sH�,�-`` (952)249-4616—Fax APproved By: <br /> Amount$: � <br /> CITY OF ORONO—PLURABING PERMIT <br /> (Ali Cammerciai Permits Must be Approved by the State Prior to City Approval) <br /> ;��t�:11 .t�9a.��s� :�vvl���.�f�,i���� �t�tr���s����€��van��adY <br /> GENERAL iNFORMATION <br /> 1. You may apply for plumbing permits by maii or in person at the City o#fices. Applications wiil be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards wiU be sent by refurn mait after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YUU RECEiVE A PERMIT. WORK MUST tdC1T BEGfN UNTIL TNE PERMIT CARD IS <br /> � POSTED ON THE JOB SITE. <br /> ,. 3. Plumbi�g permits may be issued ONLY to licensed plumbing contrac#ors and ta property owners <br /> � residing in the dwelling. <br /> 4. When any new constructian 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 mus#be inspected and air tested before it is covered. Call(952)249-4600. <br /> (24-48 hour natice required) <br /> TYPE OF PERMIT(Check Alf That Apply) <br /> �Residerrtia� ❑Commercial(Approva{Required) {Backflow Device:0 AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs <br /> ❑Reptace <br /> ❑ In Accessory Structure? <br /> *You will need urior aparoval and may need CUP. (Per Orono City Code, Chapfer 78,Article I� <br /> �' Jab Site/Owner Infarmatir�n: � <br /> { <br /> � '�C�rJ �ct n c.��� �� .pr�v�2.. <br /> Site Address: <br /> t <br /> E <br /> � Owner. �ot,�/i d W e-Gk 1�_Mailing Address:SSRS 522r1� � <br /> h'�(. l�r�� <br /> city: t~ona zip: 5 s 30'23 . <br /> Home Phone: Altemafe Phone: <br /> Contractor�nformation: <br /> Contractor.i�:�� .LX�..-� Cantact Person: c..J(?���.c.2 ��►�`-�� <br /> Address: �Z�1 CQYI-�1 `'e �j� State Bond#: ����y°(� <br /> �itY: ` L��� ����' Zip:����2- Expiration Date: { �� <br /> Phone: - � �'" �� Atternate Phone: <br /> � lnsurance—Current: �„���-- <br /> Page 1 <br />