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07/12/2011 13:50 FAX 9529335049 CULLIGAN MNTKA 1�002 <br /> w , ' <br /> v <br /> FO �'�'U9E ONLY <br /> 4�� City of Orono 7��,�/ � . /,� <br /> � 0 P.O,Box 66 Dece Recoived: �z� Petmit� �//— 0�`7� <br /> 2750 Keliey Parkway �///(���/A <br /> i � Crystal Bay,MN 55323 Approved By, Amo�mt S:� <br /> �,� ' '�� (951)249-4600 <br /> •,�arr�pi <br /> CITY OF ORONO—PLUMBING PERNIIT <br /> (Ap Commercial permits must be approv�by the Building OfFcial or Inspector) <br /> GENERAL INFORMATTON <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiU�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 <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTYL TFIE <br /> PERMIT CARD IS POSTED ON TFIE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY w licensed plumbing coniractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction oc remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. Alt work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected end air tested before it is covcred. Call(952)249-4600. <br /> (2A-48 hoar noNce required) <br /> TYPE OF PERMIT <br /> Check All That A l <br /> �Residential ❑Commercial(Approval Required) <br /> �New ❑Additional ❑Repairs ❑Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior aooroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Infarmation: <br /> Site Address: (�� Sav��S to n t C►�� I e <br /> Owner: 6�f C"H K�An 4 Mailing Address: <br /> city: zip: 5535(� <br /> Home Phone: �I a -��9 -ad� Altemate Phone: <br /> Contractor Information: <br /> Co��tpr�,A • Contact Person: <br /> 6030 CULLIGAN VVqy N�NG <br /> AddressMlNN 5 State Bond#: <br /> � <br /> (952) 9�3-720Q <br /> Ci�y: � Zip: Expiration Date: <br /> Phone: Alternate Phone: 95a- 9 t a - l3 I 7 <br /> ❑ Insurance—Current: <br /> 1 <br />