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� . � <br /> �pN City of Orono FOR C US� NLY� <br /> O P.O.Box ss Date Received: /� <br /> 2750 Kelley Parkway ` ��j <br /> y Crystal Bay,MN 55323 Permit# O <br /> c� (952)249-4600-Main <br /> R��kaseoa�' (952)249-4616-Fax ApProved By: <br /> Amount$: -� • BT� <br /> CITY OF ORONO-PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State P�(or to City Approval) <br /> htto:/lwww.dli.mn.aov/CCLD/PDF/ne ulumbolan�evann.ndf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offlces. Applications wiil be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTiI 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 bullding permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. Ali work must be inspected and air tested before it 1s oovered. Call (952)249�600. <br /> (24-46 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> �.Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVB] <br /> �New ❑Additionai ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> 'You will need crior annroval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) <br /> Job Site/Owner Infonnation: <br /> Site Address: � 7-2 � Sttrraya..�on p ��. <br /> Owner. r"��SBE��[-G E� Mailing Address: <br /> City: Zip: <br /> Home Phone: Altemate Phone: <br /> Contractor Information: <br /> Contractor: s��✓�^� ���,�►t, � N���t► Contact Person: ���� 3?�• l�,Zt�-SZ2�/ <br /> Address: 0�'�7�2 7o f'-� A�� State Bond #: -7�l S�Z 3L PG�ys'7f� <br /> City: AA'S S CL Zip: S�53Z.f' Expiration Date: /-�- 2`�' <br /> Phone: �2 �- �'I130 - ��O(o� Altemate Phone: <br /> ❑ Insurance-Current: _ ��'�in��E6L lM,,,.�rk.,�� <br /> Page 1 <br />