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. � <br /> �p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystaf Bay, MN 55323 Permit# ��l 8" b 0� <br /> �F c` (952)249-4600—Main A p p r o v e d B y: <br /> `AkFSHo4�' (g52)249-4616—Fax <br /> Amount$: <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 /> r <br /> p'�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] <br /> ❑ New �ditional ❑ 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: �` ��� ��I�c�.d- ��� ���ct.�4- <br /> �J � <br /> Owner: '����= k L���V Mailing Address: 7�U � �� �� <br /> City: �xC Q �Si� 7� Zip: 5� �J � <br /> Home Phone: �'�— Alternate Phone: �G l2 �� ' ���� <br /> Contractor Information: <br /> Contractor: ��, �'�✓ �l� ��� Contact Person: �e''�� I��� �Y <br /> Address: �b7 ���✓s�t n �i �� lW� State Bond #: �C <o� 3��y <br /> City: N� �'��' �I�– Zip: �v�� Expiration Date: �a '�� " �`� <br /> Phone: � � � ��/'� �5 � Alternate Phone: <br /> ❑ Insurance – Current: <br /> Page 1 <br />