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11/15/2017 11:44 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> t ' <br /> ��� City of Orono FOR C TY U N Y <br /> � NO P.o. eox 66 Date.Receided ���� <br /> 50 Kelle Parkwa <br /> Crystal Bay, MN 55323 Permit# ��✓� �'� ` � <br /> `;� �� (952)249-4600—Main Appr:oved By <br /> ��rFSH�0.E (952)249-461fi—Fax ' � ' � t.�� ' ' <br /> -Amount$ ' • <br /> CITY OF ORONO- PLUMBING PERMIT <br /> (AI! Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt :l/www.dli.mn. ov/CCLD/PDFI e lumb lanreva . df <br /> GENERAL=INFORMATION . ' > � ' `' ' ' ' '° - ', <br /> 1. You may apply far 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. Perrr�it cards wiil be sent by return mail after a review is completed. PERMITS ARE NOT VALlD <br /> UN7IL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL 7HE PERMIT CARD IS <br /> POSTED OW 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. AI1 work must be inspected and air tested before it is covered. Call (952)249-460d. <br /> (24-48 hour notice required) <br /> ; <br /> ,. : <br /> ' � £ TYPE aF P,ERM(T(Check All That A I <br /> � . ,:. PP Y). . . , ,�� ; <br /> �Residential ❑ Commercial (Approvai Required) [Backflow Device: �AVB ❑1'VB] <br /> / � <br /> � NeW ❑ Additionai ❑ Repairs Replace <br /> ❑ ln Accessory Structure? <br /> *You will need rior a rovai and may need CUP. (Per Orono City Code, Chapter 78, Article f� <br /> Job;Site 1 Owner`lnformation.'; <br /> Site Address: 1�U � ��� v 1�-`"� � � <br /> Owner: �Q�Q 2 ���5 Maifing Address: <br /> Ci#y: Zip: <br /> Home Phone:7�3 � a3 - 0 l Alternate Phone: <br /> Confractor lnfo'rmation: <br /> Contractor: Contact Person: <br /> . L <br /> Address: ���Q �uL�IGAN WAY State Bond #: <br /> i , <br /> C ity: <br /> �`�'��� "���`7��� Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ lnsurance- Current: <br /> Page 1 <br />