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r . � <br /> 4 � <br /> /�p�� City of Orono FOR CITY U E ONLY <br /> ,� O P.O. Box 66 Date Received: ' 0 ��I Ib <br /> �� 'i 2750 Kelley Parkway <br /> �,�Y >; Crystal Bay, MN 55323 Permit# �G l�, �— � ���L, <br /> �^ �� (952)249-4600—Main Approved By: ' <br /> ��Krsr+o� (952)249-4616—Fax <br /> Amount$: �� <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 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: _�_C��?��L 1 �'U� l�f . r�Tl�Ihp-�-� <br /> Owner: L�,,�� -,--c.�;� �1�,�,�,,� � Mailing Address: `���'�� (J--�; ,�CTj� 5�- <br /> � <br /> City: �����ira f�,�� Zip: � z���i �--�. <br /> ,� <br /> Home Phone: ���i��.�"�-���� Alternate Phone: <br /> Contractor Information: <br /> Contractor: � .R;tt�Z,� �1��,K:� C;.:.r�• Contact Person: `.�►l(�D ���f�L <br /> Address: i`17.j S __,., --c.A 1� State Bond #: �C�^1C�a�}'�� <br /> City: ��f�,� . �! Zip: SSI�-� Expiration Date: <br /> Phone: ��/--�7 ...�"_/1�-�75 Alternate Phone: �.����5�,`� �'��':�- <br /> ❑ Insurance — Current: <br /> Page 1 <br />