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�' .��p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: <br /> 2750 Keiley Parkway <br /> a �. Crystal Bay, MN 55323 Permit# <br /> � c> (952)249-4600—Main <br /> �t�kfSH04ti (952)249-4616—Fax Approved By: <br /> Amount$: <br /> CITY OF ORONO - PLUMBING PERMIT � j�� ���C�� <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: �D �� ��'�i�-�--f vt�.. /� c9{� <br /> /, <br /> Owner: �l�`��Lu ���� Mailing Address: ��� ���J/��t��- �/fc , <br /> City: ���'" (,� � ?'v'l Zip: �� �2-� <br /> Home Phone: ��Z � ��v� a�� Alternate Phone: <br /> Contractor Information: <br /> Contractor��- ��"�- �"�� �( � ' <br /> Cont ct Person: �2 �.s <br /> � �1E "`-' \ -��� r <br /> Address:� ��J Bond #: <br /> City:��� ` �' �2�U'� � / "�- Zip: _ �-�-/� Expiration Date: �a �/ /% <br /> Phone: �� �-� � ��— ��D� Altemate Phone: <br /> �Insurance - Current: <br /> Page 1 <br />