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� ' � �p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: � a$ / <br /> 2750 Keiley Parkway > <br /> Crystal Bay, MN 55323 PeFmlt#: ��<t 7 " �1 7 0�- <br /> y�" oZ (952)249-4600-Main <br /> t�kESHOR�' (952)249-4616-Fax Approve d By:�, <br /> Amos�nt$: ��o`j�- � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) <br /> htta:Nwww.dli.mn.qov/CCLD/PDF/pe alumbplanrevap� adf <br /> GENERAL FNFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offlces. Applications wifl be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licsnsed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction 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 must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All Tha#Apply) <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> � New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/Owner Information: <br /> Site Address: '�S7 s�a� � C►,�,d�.. <br /> Owner: G-�.'ti C�p� Go Mailing Address: �so� .�,b �,�: r� <br /> City: {��,,�-.�Aa. Zip: ��IH 7 <br /> Home Phone: �2 3SS ►��- Altemate Phone: <br /> Contractor lnforma#ion: <br /> Contractor: 1��5� �p\„r-.�, ,� ���, Contact Person: Zv►z��k- .�+t� <br /> Address: ���� ?h���- �� 5� State Bond #: ('C (ou ���`�� <br /> � <br /> C�tY� �� Zip: __c�• Expiration Date: I'L�-� �-�� <br /> Phone: �otZ- ZBz�-���-�r Alternate Phone: <br /> ❑ Insurance— Current: <br /> Page 1 <br />