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02/21/2017 09:52 FAX 9529335049 CULLIGAN MNTKA �002/003 <br /> .�0� City of Orono , FOR CITY USE ONLY <br /> � O P.o.Box 66 Date Received: '"�' -J<=� 1 - 1 `�?_ <br /> 2750 Kelley Parkway permit# ��1� � �'�� <br /> �,� Crystal Bay, MN 55323 <br /> i �' -Main �� � ' <br /> � E� (952)249-4600 Approved:By <br /> "�KfsHaR (952)249-4616-Fax : �_ $, �c�,';; <br /> Amount$ � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (A!I Commercial Permifs Must be Approved by the State Prior to City Appr al) <br /> htt ://www.dli.mn. ovlCCLDIPDF/ e lumb lanreva <br /> ' GENERAL INFORMATlON . '; . ; ; " '' , ;. .. . - . <br /> 1. You may apply for plumbing permits by mail or in person at the City i . Applications wiil 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 comple RMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG lL 7HE PERMIT CARD 1S <br /> POS7ED ON THE .lOB SiTE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbi� ntractors and to property owners <br /> residing in the dweiling. <br /> 4. When any new construction or remodeling is involve , parate building permit must be obtained. . <br /> 5. All work must be done in accordance with State C r quirements. <br /> 6. Ali work must be inspected and air tested before � . vered. Call (952) 249-4600. <br /> (24-48 hour notice rec{uired) �, <br /> .,, >..: ; <br /> , <br /> Tl'PE OF,PERMI ck Afl'That Appiy) ' ' <br /> �Residentia{ ❑ Commercia! (A roval Required) [Backflow Device: �AVB ❑PVB] <br /> ❑ New ❑ Additional � ❑ Repairs �Replace <br /> ❑ in Accessory Structure? <br /> *You will need prior aparaval a may need CUP. (Per Orono City Code, Chapter 78, Article 1� <br /> Job`Site 1 Owner l�nformation: <br /> Site Address: aa I U �L,o,-e�'�� �Y <br /> Owner: �oY`'� Ko °►�o ,-�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Aiternate Phone: �,! a - ���" O�y'� <br /> Confractor`Inform tion:; <br /> Contractor.�� L1C�Ah� W�'�'�� t�czn�s-rG-r_;r,�FiS,�aContact Person: <br /> 6030 GULL{�r��f �"J.�'�: <br /> Address: � .6VdIhJ1��TUNKA�Mrv �..���5 State Bond #: <br /> {s��� �ss-72oa <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance—Current: <br /> Page 1 <br />