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� <br /> / ��NU P.Box Orono Date Recei edR CITY U O LY!� <br /> ' � 2750 Kelley Parkway �,�����1 Permit# � � ` � <br /> �;y� �i Crystal Bay,MN 55323 �` �� � �l� ��� L. <br /> \F� c` � (952)249-46Q0-Main �- �' ���.� qpproVed By: <br /> ��FSHQ�� (952)249-4616-Fax <br /> Amount$: J3;�l <br /> CITY OF ORONO— PI.UMBING PERMIT <br /> (All Gommerciai Permits Must be Approved by the State Prior to City Approval) <br /> httq:/twww.dli.mn.qovfCCLd1PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City of#ices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. PeRnit cards will be sent by retvm mail after a review is completed. PERMITS ARE NQT VALlD <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUS7 NOT BEGfN 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 constructian 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. AI1 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 arior approval and may need CUP. (Per Orono City Code, Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: �f�P'�(1_�.I t S�S �^ J��`���t�.la�.1� �"Y lb�. � I�Jk�� 1 1,�.1 <br /> ,, ` � �p , � <br /> Owner: �11CL'�L� k�"t1.��i Mailing Address: �Jl� �t�Skrt��LJD. <br /> City: �� Zip: �_�'7�� <br /> Home Phone: Alternate Phone: �l`���'2�L�-ll�l lD 1 <br /> Contractor Information: <br /> Contractor: 1�Qk� k�Ll�1�, �N..0 � Contact Person: N.�C� N�L�� <br /> Address:��� t�LZt�1flLb��.1� �L� State Bond #:��U��L�L ���L3 <br /> City: ��+�.IL�C.Dr Zip: �""lt�� Expiration Date: ���J <br /> Phone: �I��QL�L-��[2� G�FIC� Altemate Phone: 1�L1�1.� <br /> dlnsurance-Current: 1t��;1.��kti� C�T�FtC�� �J <br /> Page 1 <br />