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J� , , '�{)��� City of Orono FOR GITY USE ONLY <br /> O �° P.O. Box 66 Date Received: ��� ����,� <br /> ; 2750 Kelley Parkway ��/] <br /> .-����' , � 1 Crystal Bay, MN 55323 Permit# 0���� <br /> :�,1,� ,��-'` (9 5 2)2 4 9-4 6 0 0—Main A roved B : <br /> �°���.4kFst�+��"�;% (952)249-4616—Fax PP Y <br /> ~f Amount$: <br /> CITY OF ORONO — PLUIVIBII�G 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 wiil be issued within two working days. <br /> 2. Permit cards wili be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUS i NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON TNE JOB SITE. <br /> � Plumhing 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-�8 hour notice require�) <br /> TYPE OF PERMIT(Check All That Apply) <br /> [�f Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additionai ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior aaqroval and may need CUP. (Per Orono City Code, Chapter 78, A�icle IV) <br /> Job Site / Owner Information: <br /> Site Address: ��g 5�00��•� ��'OhU l�N 55�J�� <br /> Owner: ����"Ab�, �'�Sh-� Mailing Address: <br /> City: �( << Zip: �` u <br /> Home Phone: (`�/Z'22� "��ZS alternate Phone: <br /> � <br /> Contractor Information: <br /> Contractor: ���p������: � RECEIVED <br /> PC QOp3�8 <br /> Address ����y� NOV 21 Z016 <br /> .. h: <br /> �70�a�dd�Qa�f � <br /> City: ��� ������� CCCY OF ORONO <br /> ❑ Insurance — Current: <br /> Page 1 <br />