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i <br /> /_�p ` City of Orono FOR C TY E O �Y <br /> , �' �C3 P.O. Box 66 Date Received: <br /> i 2750 Kelley Parkway � � <br /> �� a Crystal Bay, MN 55323 Permit# �d ' � ) �� <br /> �� c,`' (952)249-4600—Main � <br /> ��'xcsrio�-``� AppfOved By: �� f � <br /> �..,. ,,,..� (952)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:/Iwww.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: � �J� `7��1C��C����l��JC^�X`a �C� � C7'�O'(�O � � �J�.'��'1 � <br /> Owner. `_�;�`�iC',_�..� Mailing Address: `����r����__ C��`�, �,u��o�� <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � ��Ca t'd C-�f'Ca`:r�;.� Contact Person: �1 C�1(�f� ��'�Q�\�. <br /> Address: llsL� l,� . 7^��=' C� �2.�`-� State Bond #: '-��=('��{�.��,���; <br /> /c,c�c'a�3c_,���-�c: <br /> City: �� . �.c���a-�_r� pC�� Zip: �;�����.� Expiration Date: 1�L����7 <br /> Phone: ct���7,-�ZU � 1�C� Altemate Phone: ��cJ7_-ZLIC� ��y �C� <br /> [� Insurance — Currenfi �.�*:=.-��� �=�-� ,����t-;t�:�- • �-���`�, <br /> i ��.1<<:� �c����3���� <br /> Page 1 <br />