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�p� City of Orono FOR CITY WSE 4NLY <br /> O P.O.Box 6s Date Received: _�-//-/ 7 <br /> 2750 Kelley Parkway � �� <br /> � �. Crystal Bay,MN 55323 Permit# a�C� / 7- <br /> �" o` (952)249-4600-Main Approved By: . <br /> �1kf5H�Q'� (952)249-4616-Fax <br /> Amount$: .SD � S <br /> CITY OF ORONO— PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:Nwww.dli.mn.aov/CCLD/PDF/pe plumbplanrevao� adf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offlces. 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 arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Si�e/ Owner lnformation: <br /> Site Address: �gDO 5'�� G<Jooca � <br /> Owner: �� �hs/d'��v-� Mailing Address: �40 �'��4 C�� � <br /> City:�G,1��c i a�c. l�'�/l�r Zip: _ ,S�S`��l <br /> Home Phone: Altemate Phone: <br /> Con#ractor Informa#ion: <br /> Contractor: � �w�., ,��` �C Contact Person: <br /> Address: _�70�_/ /7�,J� /�JQ s.� , State Bond #: <br /> , I � <br /> ��tY� �N Zip: 5 Expiration Date: 2- /- 7 <br /> Phone: �� o� �a- �2 '�q� `(7 Alternate Phone: 71Q3-2C�3�-���3� <br /> �Insurance - Current: <br /> Page 1 <br />