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Mar 2� 06 08: 05a Tim Iverson 320-274-8820 p. 2 <br /> �Z S� <br /> E'OR Cl'FY USE UNLY <br /> � City ofOrono , , <br /> ��� PO.Do�b6 DatcReceived �'j� 'i�.w Ncrmit# , (,`'1 "�:1��:� <br /> �;'w,;, �' 37501�r-il�t'ackway _ �.'�/ � <br /> � �i�! Crystal Buy,MN 553Z3 Approved E3y: Amount.S. 0��� <br /> �g ��'`'i�� t952)?A9-dbOD <br /> t*t.,�t�.u+� <br /> CTTY O�'Ok0]VO-PLUMBII�� PERMIT <br /> (All Commcrcial permits musr be approved by lhe Building Ut�i�ial arinspector) <br /> G�NE�L 1NF'ORMA'TION <br /> 1. YQu�nay apply forplur�bing pe►�tn;fs by��ail ur in persoc�at the City offices, I4ppiieations wilt i�e <br /> revicwed and a_p��iit will b,�issued withiii twu�yackiflg days. <br /> '. f�ern�it ca�ds wif[!ie sent by retun�.mail afl�r a revi�w is compieted. PERMITS�lRE NOT <br /> Vt1�LtD UNTlL XOU FtECEt'VE A PERN4IT. WQltX4��I�'NOT BF��,I,�NT� <br /> �i'e�;�'�'._EAtT[f.IS FbB�'ED OIV TW E.1nB SiTE. <br /> 3. P.fum6ing pernliis r�tay be issued ONLY to licecrsed�I�nnGing contractors and tq pmperty.4�vners <br /> residing in.the dwelli�tg. <br /> 4. When any new construction or rnmodo}ittg is invol��d,a se,parate 6uildiqg permit must be <br /> ahtairted. <br /> 5. All work must be done irr ar.oprdan�e with State Codc rcquirente�t5, <br /> 6: A.I.I worJ:must be inspected and�ir tested before it is covereQ. Csi1(952)?49-4600. <br /> (29-98.6nur naGce ceqn�red) <br /> TYPE OF PE�ZMIT <br /> �Check A H TI}at� t <br /> �F�esidential 0 Commercial(Approval Required) <br /> NeNy �Addition�l [j It��uirs (]Replaee <br /> In Accessory Structuce? <br /> �You wi�i-nead-rxior Annrova!and n�ay need CUP.(per Orono City Code,Chaptcr TB;.�Ri�le IVy <br /> Job Site J Elwner tr►formation: � <br /> SiteAd�tess: �(���� �,��c^�i�,,r_��� <br /> � - _.�..___._� <br /> •�, <br /> 04vncr:�� 1� ►"� Mai l ing AddTess: �,D� I p ��o.Y �` '� �a � <br /> City: ., 7ip: ��;-�4F � <br /> Hom�Phone: A}temat�Phonc: <br /> Contxa�tor In�ormatian: <br /> (� ,�-'—'.., <br /> Caittr.a�tor.: �;���r4, G1�. <� Cvniact Per-so.n: [, 1� <br /> � <br /> Address: ��Q� ��t°Y+�I�� ��- St�te 13o:nd#: '�2� � <br /> _""'�' <br /> �iCy: �4' v Zip:� ;�xpi�tioh Uate: � L. � �._��.� <br /> 1'hone: ��.�'��r'��{0 Alterr�tate P}rone: <br /> ❑ insarance--eur.rent: <br /> i <br />