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' �p� City of Orono FOR CITY�E ONLY <br /> � P.O. Box 66 / <br /> Date Received: o� i 7 <br /> 2750 Kelley Parkway , /„ ) <br /> � �. Crystal Bay, MN 55323 Permit# a�0/ 7-Da i-��oc_� <br /> yF ��` (952)249-4600—Main <br /> �qkfSH�4'� (952)249-4616—Fax Approved By: <br /> \�� Amount$: � <br /> ���� <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 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�emodeling 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 Q 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 /> �.�=7�� <br /> �.4 <br /> , � <br /> Site Address:���"�� J� L ��� 1 �-- �� �o � � � <br /> �, <br /> , � �� �-=, <br /> Owner:� ��L�,�S C���-,` ��-� Mailing Addres • � <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: ~� � <br /> ° l � <br /> Contractor: �% �I vW� � Contact Person:' �- <br /> Address: State Bond #: <br /> , . � � <br /> City: -J :� �� � ��-) - �� 1 y � Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />