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12/22/2014 13:4a FA% 95293a5049 CULLIGAN MNTKA f�002 <br /> PO�CITY USE ONLY <br /> O�p�Q City of Orono <br /> P.O.Bax 66. Datc Rcceived: Pennit# <br /> 275o Kelley Parkway <br /> � t � Crysnl Hay,MAI 55323 Approved ey: Amo�mt S: <br /> �� (952)249�600 <br /> CITY OF ORONO-PLUMB�.I�TG PERN�'�' <br /> (All Commercial permirs mus[be eppcoved by[he Buiidmg Offcisl or Inspector) . <br /> GENERAL INFORMA'X'YQ�T <br /> 1. You may apply for plumbing permi�s by mail or in person ai the City�ffices. Applications will be <br /> reviewed and a permit will be issued within iwo workins days. <br /> 2. Permit cdrds will be sent by return mail after a review is completed. PERMITS ARP.NOT <br /> VALID UNTIL YOU RECEIV�A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERNIIT CARD IS POSCEn ON THE JOE SITE. <br /> 3. Ple�mbing permiu may be issued ONLY to licensed plumbing contractors and to properry owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is imolved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with State Code requiremenu. <br /> 6. All work must be inspected and air tested before it is covered. Caq(952)249-4600. <br /> (Z4-48 hour notice required) • <br /> TYPE 0�pER,MXT <br /> Check All That A 1 <br /> �Residcntial ❑Commercial(Approval Rcquircd) <br /> �New �Addidonal � ❑Repairs ❑Replace <br /> / � <br /> ❑ In Accessory 5trucdue7 . <br /> "'You witt need nrior annrovsl and may need Ct,�.(Per Orono City Code,Chapter 78,Article 1'N) <br /> � Job Sitc/Ornmer Information: ��� <br /> Site Address: �y�Q �� � 'v � , <br /> /�", <br /> pwner; CI�C.y, G•,.! b r c�n�,S01'� Mailing Address: <br /> City: Zip: ._5S'35� ,�� <br /> HomE Phone: �la-.3��� �« Alternate Fhone: <br /> Contractor Information: <br /> ���°�� ING Contact�erson: la�►e��i <br /> 6�30 CULLiG/�N WAY <br /> Addr�:NNE�'nr.i�n wah� ����C State Bond#: <br /> , <br /> (952) 933-7200 <br /> City: Zip: Expiration Date: <br /> Phone: Alternate phone: q5a-4��•7,�!] <br /> � ❑ Insurance�Current: <br /> I <br />