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* _ �I <br /> � �pN�� City of Orono FOR C -�E NLY <br /> O '' P.O. Box 66 KCVtIVtu Date Received: <br /> '� 2750 Keiley Parkway Permit# � � <br /> �.� Crystal Bay, MN 55323 AUG 0 S 2016 <br /> �\�q ���j (952)249-4600-Main Approved By: � <br /> ,�E+t�u� (952)249-4616-Fax ' <br /> — C�TY OF ORONO Amount$: -�• <br /> CITY OF ORONO – PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:l/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 /> ❑ 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: `�r �' �; T c;�l I\C��� <br /> � <br /> Owner: 1�4��,��,.;�� l�;w� i��Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: _�jc,�,��,-�, ���'`ti�-c���, Contact Person: 1Jt5 /�1 �.J�,, -�-T� <br /> Address: I�� C 5 -t'`� `��' ���•�� ��'1 State Bond #: �� S�L S s <br /> City: �"`�Sk�� Zip: � 5,��� Expiration Date: ���r- l(_ <br /> Phone: ��� � �-�'�Z`� Alternate Phone: <br /> [�Insurance – Current: i c .� <br /> Page 1 <br />