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�p� City of Orono FOR CITY USE ONLY <br /> �O P.O. Box 66 Date Received: l� �/ Z- ��!�7 <br /> 2750 Keiley Parkway / <br /> � � Crystal Bay, MN 55323 Permit# G-�' � � "' l�D tJ,��i <br /> � c> (952)249-4600—Main ,� ,�j <br /> ��"�kfSH�4� (952)249-4616—Fax Approved By: <br /> Amount$: -��C� � �(<� <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 /> �] 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: � �1�1� � �t,� ���1� ��,� <br /> Owner�h� /�����PS Mailing Address: <br /> City: �C'.�l' Zip: .�r�.3� <br /> Home Phone: ���J3�-.5/85` Alternate Phone: <br /> Contractor Information:. <br /> Contractor: � �Z7"��ry �u' �-C � J1� Contact Person: <br /> Addres : �� ��3Y� �� State Bond #: ��lo�}��� <br /> ,. <br /> City: V� ►'�,�-F_ ?'1 ��`� Zip: �.� 3`? I Expiration Date: <br /> Phone: �J Z ��� ' ��s � Alternate Phone: <br /> [�Insurance - Current: ��,� <br /> Page 1 <br />