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� J <br /> ;'��N City of Orono FOR CITY USE ONLY <br /> �, P.O. Box 66 ��� � Date Received: �S�/Z,/� <br /> 2 7 5 0 K e l l e y P a r k w a y � � �� Pet'mit# Z—��(O " b / <br /> �'��� a � Crystal Bay, MN 55323 �f ,9 , � � <br /> ��^�q Ec> (952)249-4600—Main � �t p�� A POved B � <br /> \KfSHOR (952)249-4616-Fax r �u .,�� pp y' <br /> � Amount$: � � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. 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 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 licensed 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 requiredj <br /> TYPE OF PERMIT(Check All That Apply) <br /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior aqproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/ Owr ,- Information: ^� <br /> Site Address: � Ci (� a <br /> �wner:_ �„_ Mailing Address: C�� S�UG� W C>CX�1 �� <br /> c�t,,: ���1� �� , z�p: S � ��--?� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �(� v � 1 Contact Person: � � ��`� �S �� <br /> Address: ``'����� l����'�+ ��� State Bond #: � � ' ) � �o�� � <br /> � Co`�� <br /> City: �5 ,�L����-` Zip:��J_Expiration Date: 1 31 �� <br /> Phone: V�,� ����"�� � !� Alternate Phone: �9�Jt '� � � ��s <br /> � Insurance— Current:�� �'���� �C)��*� �(��'�d��- <br /> Page 1 <br />