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, <br /> C URE(3t�tLY q <br /> ,r'� City of Ot'ttif4 Uate Rr.cei`oc ;�v � Pexmit# A�/ ' •� / <br /> / �.�.���+y P.Q.F3ox 56 <br /> ,/ t1 2750 Keiley Parkway �p Q• / � <br /> � ` Crys�ml Bay,MTt 55323 Appmved By: Amount$: <br /> i f �; ^ � (952)244-AGW._Mxln <br /> � �� (952)2A9-A6[b—Fa�c <br /> '"� �, CITY OF ORUNC?—FLUMBING PERMIT <br /> �'��st►u�`% (All Cotnxnercial Permits Mnst bcApprnved by the State Prior to City Approval) <br /> ...- � hE�y:llc�`ww.cita.mn, ov/C'CLD1P1)�'1 c lumb ��nre�r� . tI� <br /> G�E�.,irr�o�raz torr <br /> i. You may�tpply for pinmbing permits by mail or in persan at the Gity affice.s. Apptications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail afker a review is c,ompleted. PERMITS ARE N�T <br /> VALTD UNT[L YOU RECETVE A PERMIT. WOItK MUST NOT BEG1N UNTIL THE <br /> p�RMIT CARD!S PpST'ED OlY 7'HE JDB 5ITE. <br /> 3. Plumbsng permits may be isst�ONLY to licensed plumbing ctintractocs and to pro}�erty awners <br /> residing in the dwelling. <br /> 4. When any new canstruction or remodeling is involv�a separate buitding pernn�it must be <br /> obtained. <br /> S. A1l work must t�e dane in accordance with Sta#e Code requirements; <br /> 6. A11 work must be inspected and air tested before it is covered. Cali(952)244-�C�. <br /> {Zd-48 hoar not�ce raquired) <br /> TYPE OF PERM.IT <br /> Check All That A 1 <br /> �esidential ❑Commercial(Appresval R�quired) <br /> ❑New ❑Additionai ❑Repairs r��place <br /> ❑ In Accessnry Strurxure? <br /> "°You wilt nced or[or augrovsl and may need CtJP,(Pcr Orono City Cocie,£hapter 78,Article N} <br /> Job Site(Owner lnformatian: <br /> Site Address: � <br /> � ��-� f��� <br /> Owner: +' � ,�;.�_.. Mailing Address: '�l � 1�� Y 1 <br /> � <br /> City: <br /> '� Iip: <br /> .✓�- . .,._,..,_,. <br /> Home Phone: Alt�rnate Phone: . <br /> Contra.ctor Information: <br /> Contractor: �' �t�t� ���1�'V1�i d��- Contart Person: C't GNt{'V� .�_. <br /> Address: ����� ��� ��'� State Bond#: �t� ��� �� <br /> City: ��.�}1/`P�1/ Zip:���1�xpizat.ion Date: ��� ��''t� <br /> Phone: ����- �� ' �)�� � Alternate Phone: <br /> �. <br /> `� lnsurance—Current: U W � �+��'V!�i . G 1�° ` <br /> 1 <br />