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/ �p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: _ � - //—/� <br /> 2750 Kelley Parkway �, <br /> -� > Crystal Bay, MN 55323 Permit#__ � �'� 7 Ci(����/ Z <br /> y� c? (952)249-4600—Main <br /> �A'rfSHOQ'� (952)249-4616—Fax Approved By: /� � <br /> Amount$: �, G <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 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 /> . � <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 /> � --� �1 <br /> `, I� i <br /> Site Address: �� � � �� �c%�� � �% ����% G��'-� <br /> , <br /> Owner:;'�1�t�� �_�� r��'�'~� Mailing Address:S�� f�� <br /> City: ( ';��' ��' �-�� Zip: �_ > >`�� / <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor:�G�� �-�ct;^��,,�--�-�,� (�(��-S�� ��� <br /> __/ � Contact Person: r <br /> Address:3j� �����« ,-i �'� � State Bond #: �� � �� <br /> .� � / / <br /> City: �/�1�l cr ���",' ( �-F' Zip. `��,5� '� Expiration Date: ��l �� / �� <br /> Phone: � �� � '�������-` ���'�—� Alternate Phone: <br /> (�]'lnsurance — Current: <br /> Page 1 <br />