Laserfiche WebLink
.F <br /> } , v--------, <br /> ,f p ` City of Orono FOR CITY USE ONLY <br /> � /V-,,'�, <br /> ;" (� � P.O. Box 66 Date Received: �� -/ / -/ � <br /> � � 2750 Kelley Parkway <br /> � Crystal Bay, MN 55323 Permit# ��l�. DD�.3�--� <br /> ''��^�� �c> (952)249-4600-Main Approved By• <br /> �� �E�s��� (952)249-4616–Fax <br /> �—.�-- <br /> Amount$: �J�.� <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (Ail 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:�S �1( S h���P I��c� �ilri v� . C �v�1C7 , 1��1I� SS�J yl <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: FXc.Pr %�l�ca.�„K..� .��_ Contact Person: 'S e rp;� S��.�,�,b/ '-� <br /> Address: (�'��� C�c�..tT� 13 S� State Bond #: a� (��l��S <br /> City: Ch..J�,{���v�.,.�� Zip: �S��� Expiration Date: I ,3/ '1 � <br /> Phone:�'!�� - yS'S �C;c►� 1 Alternate Phone: �S� - ���� � �YG� <br /> [�Insurance - Current: 1 r��-�v�21 � �S ��� Cy � �.�'v�~c j 73,F �� <br /> Page 1 <br />