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! <br /> t� <br /> . 7 <br /> I <br /> -°�'" FOR CITY USE ONLY <br /> (y.; �ity of�roa�o <br /> ` y� � P.O.Box 66 <br /> -� � ' Date Received: Pennit# <br /> � ?7�0 Kelley Parkway <br /> � ;5`l� �; Ci��stal Bay,MN 55323 Approved By: Amount$: <br /> �'�sk �w�`.:' (952)��9-4600—Main <br /> ' �sq::.' (95'_)249-�3616—Fax <br /> C��'y' ��' �I��RT�—��UlF���� �E�1�dIg�' <br /> (All Commercial Permits l�lfust be�.pproved by�he S�ate Prior to City Approval) <br /> >�=°"'�i°.4'=`�R,.:�ii.e,�.at�*��1�:���:/r�kF;:�� �ab�E�.�����s•.�-:��s�.�c�� <br /> �.:., ., <br /> GENERAL INFORMATION : - <br /> 1. You ma}�apply for plumbing pennits by mail or in person at the City o�ces. App]ications will be <br /> revie��ved and a permit will be issued within two working days. <br /> 2. Pern�it cards will be sent by return mail after a review is completed. PERMTTS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. V1'ORfi{1�iJS"d'1'dOT��GSIV U101'FP�.'TI�E <br /> �ERM[T Cfl,��S P�STEP�ON T�C�.�0�SI'�'E. <br /> 3. Plumbing perniits may be issued ONLY to licensed plumbin�contractors and to property owners <br /> residii�g in t!�e dwetling. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> 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 hou�•notece required) <br /> TYPE OF PERMIT • <br /> Check All That A ly <br /> �i]Residential ❑Commercial(Approval Required) <br /> ❑New ❑Additional <br /> ❑Repairs �`Replace <br /> ❑ In Accessory Structure? <br /> �You H�i11 need�rior aporoval and may need CL'P.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: �1�� �'Y lQ!�y �(�/60(,�1 �� • <br /> 1 t— <br /> Owner:1 �u � i'�-r.j MailingAddress: S�m�- <br /> C��� W z�p: 5 �3 9 ) <br /> , Home Phone: �',J Z��� (� ���D Alternate Phone: <br /> Contractor Information: <br /> Contractor: 0 �b�ontact Person: _�! 5 <br /> Address: �y(� �'� �a • State Bond#: <br /> City: ��1. Zip:��xpiration Date: `2��j <br /> Phone: `�� ,! ", 7� � Alternate Phone: <br /> ❑ Insurance-Current: <br /> ] <br /> c��%c'"' — <br />