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r CI USE ONLY <br /> �4p� CityofOrono �EC ED ��/y 3-0 �� <br /> P.O.Box 66 E�V Date Receiv l Permit#OCf/� <br /> � �ap„ „ �� 2750 Kelley P.�rkway � <br /> � �fi•'�`�_- �� Crystal Bay,MN 55323 ��P � Approved By: _ Amount$:_ � � <br /> "�o��o, (952)249-4600 � `- 5 ZO�3 _� <br /> CITY OF UI201�I����I:BINCF 1'ER1�3IT <br /> (All Commercial permits must be app:oved by the Building Official or ir.spector) <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mai!or in person at the City offices. Applications will be <br /> reviewed and a pennit will be issued within two working days. <br /> 2. Permit cards will be sent by return cnail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB S1TE. <br /> 3. Plumbing permits may be issued ONLY to ticensed plumbing contractors and to property owners <br /> residing in the dweliing. <br /> 4. When any new construction or remodeling is involved,a sepazate 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 hour notice required) <br /> TYPE OF PERMIT � <br /> (Check All That Apply} <br /> �Residential ❑Commercial(Approval Required) <br /> � <br /> ❑New ❑Additional ❑Repairs ❑Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior aaaroval and may need C UP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: t� f �" L <br /> Owner:��k�_�� " � 1Vlailing Address: <br /> City: Zip: <br /> Home Phone: � � - L Ci(,� Alternate Phone: <br /> Contractor Information: � , <br /> � �Contractor: Contact Person: . .� <br /> App Inc. <br /> Address: 12850 Chestnut Blvd�. State Bond#: ��Y <br /> , <br /> City: 952-445-48��. Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance—Current: <br /> � <br />