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� �pN City of Orono FOR C TY USE ONLY <br /> O P.O. Box 66 Date Received: _�/`7-D"� �7 f <br /> 2750 Kelley Parkway <br /> � Crystal Bay, MN 55323 Permit# �i�-/� <br /> y o�Z (952)249-4600—Main <br /> ���kESHO�f' (952)2a9-4616-Fax Approved By: <br /> Amo�nt$: J`��l i 5 <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approvai) <br /> htta:Nwww.dli.mn.aovICCLD/PDF/pe qlumbplanrevapn udf <br /> GENERAL FNFORMATION <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 PERMfT. 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 /> r� <br /> �"Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional Repairs eplace <br /> ❑ In Accessory Structure? <br /> *You will need nrior aaaroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/Owner ln#orma#ion: <br /> Site Address: �G� C� ,S'��;,� .� (�/'.`J e <br /> Owner: Mailing Address: <br /> City: �C�n-� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor lnforma#ion: <br /> � <br /> � �� <br /> < <br /> Contractor: (� � Conta�t Person: �,�,���,^ <br /> Address: ��o2�i��1 � .�J-� State Bond #: _�C �Ua.�`�a <br /> City: �>u ��,_�_p Zip: �,��� Expiration Date: l��31' � <br /> Phone: �ola�-�2�5��7 Alternate Phone: <br /> �nsurance— Current: _ J`�c,-�� CJu�il4t. S <br /> Page 1 <br />