|
03/18/2016 FRI 18: 53 FAx 612 822 5a48 F►1' b K�Ater Plumbimg �005/007
<br /> � • � , ,,, -•
<br /> � `� � �o�������
<br /> � �,c, �1 � � �C�'�� �S o�
<br /> 1,�yo�c rx usw oK�,Y
<br /> CityofOrono '„ I y� / , � ¢,.;� �a��
<br /> � ��O P.O.Box 66 Duu I�aei��� �i�Petiuit ll'��
<br /> z�so rconcy rorkWay � � . � /D
<br /> Cryaai ssy,Mr�55323 �Appcoved By: ' ,,'Ayiount S:�`�
<br /> (952)249-4600—Mcin ' ' ''
<br /> (952)249-0616—Fnx
<br /> • y� �� CX'�'Y OF O�ONO—PLUMBING PERNIIT
<br /> `�k s Hd�� (All CommerCial Permit�Must be Approved by the State Prior to City Appraval)
<br /> ht ://www.dli.mn. ov/CCLD/Pl)�'/ � lumb lanrevn . df
<br /> �; ;'GENE�LAL INk'ORMATTQI�T W;,' ' �� , � � � ' , •�� �
<br /> ' 1. Yau may apply For plumbins permits by mail or in person at the Ciry off ces. Applications will be
<br /> reviewed and a permit will be issued within two working days,
<br /> 2. Permit card�wil]be sent by return moil aiter a review is completed. PERMiTS ARE 1VOT
<br /> i VALID UNTTL YOU RECENE A PERMIT. WO�.1v�Sx NOT IiEGI1V'UNTR,T��
<br /> PERMIT CARD TS POSTFD ON 1'HE,�0�SI'I'E.
<br /> , 3. Plumbing permits may be issued ONLY to licensed plumbing contrac�ors and to property owners
<br /> rc.�iding in the dwelling.
<br /> 4. Wl,eu any new construetion or remodeling is involved,a separatc building permit must be
<br /> obtained.
<br /> 5. All work mast be done in accordanee with State Code requirements.
<br /> G. Al]work must be inspected and air tesked before it is covered. Call(952)249�60U.
<br /> , (?.4-48 hour notice rcquircd)
<br /> �Z�'I7jI,S!rf,�i}���1r�' , � ,�!'�•'u�,�r, ;, I, ,;,Ir,;„ , ,I�!���n !r;'�1� I�'�,1;�!1 '�
<br /> ,I.I,1�j% � ;1 1�'1'I ;'�� �` f�r' ;�� '�,'�,I '�1, I' (�'"I{;`1 lil'1
<br /> 1,��ili;,� rl t��11 •� ' "fi'Sii�'i i4f�•�II���' �i1 ��0�'� �I �'i';�I��i���' (�IlI� 1 rf�l��i �1���4�;�{y� If
<br /> t �r, (';, ;,�i ',i, ;.r,v g„ '7 ���� �,'�,Ih i i�ri��;��,i,�, �r'„�
<br /> � ti. '�C y�p�•f�g�H i'�4i �!,' � , � �)i 1 '�;,�'�Ir, I," 11 � '1, � •�i��ri�,���),;F�,��'�L{(tj'4n,J��
<br /> .4 �;,+��'�%�u�;1l�-�,i�< f�Y��1•'��AOCr�y�T�+�+��l�X�, �� � �II;��t���{�'��:P�,�"rl�i P�',q;r��,a����i,
<br /> �esidcntial ❑Commercial(Approval Required)
<br /> Q Ncw ❑Additional ❑Repairs Re e
<br /> ❑ ln Acccssory Structiuc?
<br /> *You will need orior aoornval and may need C:i�P.(�er Orono Ciry Cocie,Chapter 78,Article I�
<br /> �„�„,,,,��, j , �„ �,� .��,;� ���r,� d�r,'n,�;i
<br /> �a0a�;s1�8,����!�Ll�:r!��111,41��aCl;Q;k�Yl„"�li��,i, �i�,„],ilyi'j�,IC�ir�lY�idatl,
<br /> � site Aadress: ���� � � G�l.Cll. ��o�a�. �r�
<br /> � Owner: ��a �1 �r(�PS�� 1V�aili.ng Address: �\�'�
<br /> ��
<br /> Cily: 7ip: `�
<br /> Home Phone: ��`��O "�y�3 Alternate Phone:
<br /> 'i��1+1Q�, ��.!h��l'�I1�Q�R�i"�5�i1���7ii��bfl4%���N tN,��'�atlf'"+'� ��i I��'Y�
<br /> 1`1 e a h �C cl , p g� �J'�r1 j Gq IM I 1�1 T +I
<br /> CoAtractor: (��u h (,� (r�., P j 4+Mb�i� Contact Person: �J-�Yl'Y�1 �V`�� I
<br /> a
<br /> Address: � � l� I v�F-fi�dl�i�•w� State Bond#: � ������L I
<br /> P�ry 0`U`�
<br /> Ciiy: /1�.ew Zip: Expiration Date:
<br /> � � �� i
<br /> Phone: (p(��, � , A�ternate Phone: �� i
<br /> ;
<br /> � . �
<br /> ❑ Insurance—Gurrent: �v�a/5 ��S���n c� �
<br /> �
<br /> 1 '
<br />
|