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�pN City of Orono FOR CI USE ONLY <br /> �„ O P.O. Box 66 �..�� Date Received: �-7-�(�j <br /> 2750 Kelley Parkway ' �, � d6�� _�!D <br /> ! a y Crystal Bay, MN 55323 �' � Permit# 9J <br /> �F�q �c> (952) 249-4600—Main (^ � ,�I A roved B <br /> kFSHOQ' (952)249-4616—Fax �, pp y� <br /> Amount$: �' <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (Ail 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 finro 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 /> � <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: �5 �� � � :���--� r, _ <br /> , <br /> Owner: � � � 0 c �� Mailing Address: <br /> City: �n s�„�.,'� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor. e ��(, � �. �� Contact Person: �2,. � � <br /> Address� ��� �.� � Pl�����. � l,� � State Bond #: <br /> City: G Y�'� 1� �- Zip: _��3 3� 3 Expiration Date: <br /> Phone: b`� �"� r � ��� � � Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />