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cLp� City of Orono FOR CITY US �ON Y� �7 <br /> O P.O. Box 66 Date Received: -��� `�� / <br /> � 2750 Kelley Parkway <br /> � � Crystal Bay, MN 55323 1, ��� Permit# o2D� dU,3�,,5^ <br /> �' o` (952)249-4600-Main a � <br /> �qkfSHOR� (952)249-4616-Fax ��� Appfoved By: — <br /> Amount$: .��, S <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 plumbplanrevapn 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 /> �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Re lace <br /> , / P , <br /> ❑ In Accessory Structure? V �h is� U'n`��h�i,� , <br /> �h �n <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: �GZ�/ S�/W�y �'�a� �� <br /> Owner: ��� ��c=�=i�� '�c�> �� S-�w� <br /> � ^ � Mailing Address: y wceQ (�J <br /> City: Q C��N� Zip: <br /> Home Phone: Alternate Phone: <br /> Contrac#or Information: <br /> Contractor: ��L►� l�r��c�r� �Cv��t�.�,s�tl�',Gontact Person: (J�zU"� �--`�t��C,``S <br /> Address: _ � $ �� � ���Sc�.� ST ��� State Bond #: _ 1-��7 � g g `�� <br /> City: ����� �Z v�� Zip: �S33� Expiration Date: ( Z- 31 "�� <br /> Phone: 3 2 G �L(3 �,Y � U�2�'�' Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />