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• �p� City of Orono FOR CITY US ONLY <br /> Q P.O.Box 66 Date Received:_ (� —��,-- � <br /> 2750 Kelley Parkway _a � <br /> Crystal Bay,MN 55323 Permit# ��( (,, ` f�/ :��.:�, <br /> �- �` Phone:(952)249-4600 <br /> ��qkESHO��G` Fax: (952)249-4616 Approved By: _. �Z�� <br /> Amount$: ��.% <br /> CITY OF ORONO — IRRIGATION PERMIT <br /> PERMIT CODES: City of Orono, Minnesota State Plumbing Code <br /> Sprinkler/Residential/Lawn Sprinkler/Blank <br /> Sprinkier/Residential/Backflow Device Only/Blank <br /> Please Check One; New ' Addition ❑ <br /> Job Site Address: ��� ���'l� C� Y ��, e���TT �[ <br /> . <br /> Owner: T/����/��, (wJ [TLS'c� /�/ Telephone Number: <br /> Mailing Address: � � ��_��� �,`_"'.�LL1 r1 i�_� �� . <br /> -� <br /> City: �"i � (,.r��C��:� Zip: T�/. <br /> Sprinkler Contractor.�j= �--L��- Telephone NumberT�_��. L�T/. ��� <br /> Contact Person: �� License <br /> Mailing Address� �7�L% �f /������m/,_� � �'f' /�(^�/'��-�,-�� <br /> WATER SUPPLY: Lake ❑ Well ❑ City� - <br /> BACKFLOW DEVICE: AVB [� PVB ❑ <br /> Make = Model Year of Manufacture Quantity <br /> J�t:�.1h -5��'�,r,.,�'�I'`� ��;'Z.� <br /> INSTRUCTIONS Complete all items on this application. Incomplete applications will not be processed. If you <br /> have questions, call (952) 249-4600. You will be notified by phone when the permit review is complete. <br /> GENERAL INFORMATION <br /> 1. You may apply for Irrigation System permits by mail (P.O. Box 66, Crystal Bay, MN 55323) or in person at <br /> the City offices (2750 Kelley Parkway). Submit plans for review with this application. <br /> 2. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 4. All work must be done in accordance with City and State Building Code requirements. <br /> Page 1 <br />