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, p City of Orono FOR CITY USE ONLY <br /> � � �O P.O. Box 66 Date Received: _ � ! �?�r'�� J � <br /> 2�0 Kelley� Parkway � � � ���_ <br /> -� .� C stal Ba , MN 55323 Permit# �U � <br /> 7 <br /> ��"�kfSHOR�G� (952)249-4600—Main Approved By: �� <br /> (952)249-4616—Fax <br /> Amount$: C ; / U <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 o�ces. 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: v� ��I� �hp�� ��� � � �' <br /> Owner: ��v��tn ��P�;c��rn�rv� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �ar1 � . 1�au� ��S �nL Contact Person: ��c��e �a�hSpt� <br /> Address: �� � � ��'Sp��hc�� � � State Bond #: <br /> City: �� V'�.0 f Cz►�1 Zip: � 5 5 ?�{(� Expiration Date: <br /> Phone: a � � '�7 3 �/�� � Alternate Phone: <br /> �Insurance — Current: <br /> Page 1 <br />