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j� < '*� <br /> � l <br /> � ��pN City of Orono RE�EIVED FOR CITY U E ONLY <br /> , P.O. Box 66 Date Received: .2'"� -� -/� <br /> r r 2750 Keiley Parkway DEC 1 9 2016 Permit# �O /�-� /s sL <br /> � y �.� Crystal Bay, MN 55323 <br /> (952)249-4600—Main Approved By: _, <br /> ,\�kFstfo��"y (952)249-4616—Fax C�-n(OF ORONO <br /> Amount$: � <br /> CITY OF ORONO- PLUMBING PERMIT <br /> (AI{Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http'Nwww dli mn qovJCCLD/PDF/pe pfumbpianrevapp.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 ar remodeling is involved, a separate building permit must be obtained. <br /> 5. Alf work must be done in accordance with State Code requirements. <br /> 6. All worlc 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 /> � Residentiat ❑ Commercial (Approval Required) [Backflow Device:Q 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 !V) <br /> Job Site/Owner Information: <br /> Site Address: I 2.W � �.�� ,��'""�'"`�' '� ���� � - <br /> Owner: ��w� �c"�� �,���� Mailing Address: 1�t.W� �."'�"'�` ��� �� <br /> City: b+�-� N� Zip: �..���,�� `c� <br /> Home Phone: ��L' �,�'"���� Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��+ �� '�" M�..�+��� ��—Contact Person:��,��,�.1 �'����'�� <br /> Address: �,��„��+ +�� [�j �?�'+���� ���—State Bond #: /� � ����C� <br /> City: �� ���g � ����� ��`�' Zip: �#�'�; ; :°�-Expiration Date: <br /> � �', <br /> Phone: �S Z '��� �� �``� Alternate Phone: ���` ���`� � ���"� <br /> ❑ Insurance—Current: <br /> Page f <br />