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h � <br /> � ;--:�p�"'� City of Orono FOR CITY ONLY <br /> ;' O � P.O. Box 66 Date Received:----����-_lo,..,�1�_ <br /> � 2750 Kelley Parkway permit# � ��� �� O 1 <br /> ';\\,�� �,� Crystal Bay, MN 55323 n ,�, C� <br /> � ��c, (952)249-4600-Main Approved By: /'-�-� <br /> `�.'�£SNO „� (952)249-4616-Fax �` <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.aov/CCLD/PDF/pe qlumbplanrevapp.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 required) <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 approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address:�c�a� 5�.�taSoe� R� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �;��rs����1� ti..:�� Contact Person: �0,.,�L <br /> Address ►a�lb� Z.�ra,. A.h State Bond #: �M btoo�l(og <br /> City: Sc.�o.� Zip: M� Expiration Date:�3 ) <br /> Phone: °►5a- $ay-'lbou Alternate Phone: <br /> �Insurance — Current: <br /> Page 1 <br />