|
10/26/2016 09:04 FA% 95293a5049 CULLIGAN MN�'KA C�002
<br /> ---I , �;.
<br /> �QN City of Orona �.n;,�:,;��A�i:���i;';����iFOf2,C,ITY�usE NLX'���' '��;�������
<br /> Q � �v,� �!!,; w ' ���, ,�,�
<br /> p_o.Boxss ��Date;Received:::�.��i",i����;�;�,;,�'°�,;�':'�v�,�"�!
<br /> 2750 Kelle Parkwa ,,.�^�;,��„��,,, ,W�,���;��;i��;;i �,��� , .�,y � w •
<br /> Y Y �pe 'rt`�a;!, ,� ' � ����{,�.� . ���;
<br /> �/stal Ba MN 55323 ,A� �� �^'��" ����"{'�'I'
<br /> = �� �'7 �1 n�u�i liylliy�l�n �.j i�:��im��1Y�il.iii�i���� ��uw�M4�Fn��i i�� wl���..i�'i���4v.yiCl.`.'w4'�
<br /> � �� (952)249-4600—Main 'I��Pproxed8y,:,:.��;uyu�:�M;�.�;,I��I�;F'i�:�,i��y,r,�:h�;,:�^��,��;,.�� .,����;�
<br /> •S� v.� ,,, ���"I:,'P�'��'c���w�.�.� � , , ,�n„ ���i., :^�� '��".��:BI;I����.,
<br /> �EiHQ (952)249-4616—Fax i� ,., ""���.� , � �i
<br /> ��R10uflf�$°�.I":��M h����l�:.„� M� ��'r'�����
<br /> 'M u �I°p��6�1ubi :wi n+i�W.F�: �J:G 1�1."" �'I;I:J',!•
<br /> CITY OF ORONO—PLUMBING PERM[T
<br /> (All Commercial Permits Must be Approved by the Stat� Prior to City Approval)
<br /> htto-/lwww dli rr�n qov/CCLD/PDF/pe plumbofanrevapp.pdf
<br /> �lul�"'�IJC���Ca. tiiih�.. �rwi��Ui6:iIGR:i�G iF;r�'r'M�+r�•��i��Sr:"Iwnn�yi.'+�•if��:iipli,�:ll li.i'+'iio-wiw�`C�.I"Hl4i�i�r�"WIx�7�"is"'�li:;�;;i�:'ICI�'�li�i�l.'ww�;:�il
<br /> �',�G EN ERAL'�GI N FORMAT{,O N,.,,,r,L:,���,��;�;i:,�;,���;�;,ii.�r.�w��������;�r,,,,�,,:��,;„,�,,;��hf��.;;��.,�,w�Ya�„���;..��:,::,�:ir;�,c:��:,,,,;i����,,,�M,,,,.,����y 4:���w:�;,r..�rc:��;�,,;,;��,;;,,4�,
<br /> 7. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
<br /> reviewed and a.permit will be issued within two working days.
<br /> 2. Permit cards will be sent by retum mai!after a re�iew is comp(eted. PERMiTS ARE NOT VALID
<br /> UNTIL YOU REC�IVE A PERMIT. WORK MUST NOT BEG1N UNTIL 7HE PERMIT CARD lS
<br /> POSTED dN 7WE JOB SIT�.
<br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
<br /> residing in the dwe(ling.
<br /> 4. When any new construcfion or remodeling is invohred,a separate building permif must be obtained.
<br /> 5. All work must be done in accordance wrth Si�te Code requirements.
<br /> 8. ,All work must be inspected and air tested before it is covered. Cal((952)249�600.
<br /> (24�8 hou�notice required)
<br /> „i�..i�i� F m��red.�..dY�l'I ���AP:I^�4 Ir�r��!1"mr�ti�r.. ��w�N�l��l�xirl:r�,wi°�I�"a�l�rl��l�il��rM�J��i.Ilu�.�w�:iFwsitiiF�
<br /> I�SBwT��4° i�e��i:�llldl '.�rM�l��l��'I ��`�h"I � �I" � n iiN�.K�.� � Mr�r�i
<br /> Ir�'JIl�IIk�lw���i��w�waW�'iai6Enwrw„Xi�SI �.ii�.i�Wae��ra"'9�,� ��' ���;��"I'c��C�' �, ,��i;5 �nawN„I��Nwr.r�J9 w"LM .ia�Nr:�7�I..�Y.�:4u:�"w',��II
<br /> ��, . ,� , .,,,�.,,�,w..,�...,�.�r�
<br /> „���.a���..,�n������.x�;a�M�nw,��:r�;�,�„ai^a�r�al:!:I.r��.�;�,,;�7Y,���;d�,;,PpER((11n,IT�(C��e����/a,,.�.�,,..,���p!PP.,��;..,��•�� �,����.,n.�_����,iw���l��w. �, �„�,
<br /> iI��IM14tl1�J�w�i��Jw�i�l.�.v.�
<br /> �Residential ❑ Commercial (Approval Required) [Bacl�Iow�vice:�AVS []PVB]
<br /> �,New ❑Additional 0 Repairs ❑ Replace
<br /> ❑ 1n Accessory Structure?
<br /> *Y�u will need prior anoroval and may need CUP. {Per Orono Ciiy Code, Chapter 78,Article IV}
<br /> �;"��N u.G i�� 1 ' wM���i.i�Nw� . �.�.,, ,�� �^;P:ICIIJi�ly17Y"yi�il�b'��i.'.':�'1���61:�"���iulii�i��
<br /> �UC�,�i�:���y,►�ner;�'ri�'or`,`,mati"o'i1:yr����ln�:l,����:!�F.�o:�irv�Y1��"�����;
<br /> Sit�Address: o�Sa b .Sar�5-�'a
<br /> Owner: �.�iza�� �i�ari Mailing Address:
<br /> City: Zip: �S S�O
<br /> Home Phone: �1 �^ �y �' bS�O Altemate Phane:
<br /> ',�,�i,�nL14�4 Li 14�i. iW���.J�. �.,�,��r��.�..,���iip"'���a�l:l�IiCF.�'ll C""eGiwa�Cn�"'W':ti;';
<br /> �� �.��.�, ��uw� ,M'_N�.
<br /> , .�
<br /> o '���?�QCmatwn-,���������y,,.i�,���� h himl.��,.� "�. �,ay,��,
<br /> ,t,r��i. ,���,,.,��,�s
<br /> Contractor. Cantact Person:
<br /> Address��LIGaN WAT�A Cpl�p�.Tf01�fNC State Bond #:
<br /> MINN�TONKA, A+4M v5345 Zip: Expiration D�te:
<br /> City:
<br /> �`
<br /> Phone: Altemate Phone: � '4� -7-3► 7
<br /> ❑ Insurance�Current:
<br /> Page 1
<br />
|