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From:7634974263 03/12/20�8 OS:O5 #225 P.005/006 <br /> _ w <br /> �pN City of Orono FOR, ITY, SE` LY <br /> � P.O. Box 66 pat8'R�CeiYBd.;���'"�� <br /> 2750 Kelley Parkway pery��t# ����'"✓��� <br /> Crystai Bay,MN 55323 <br /> y� �� (952)249-4600—Main 1`OV�d 8 <br /> `�'f SHOQ'E (952)249-4616—Fax APP; � .` :: <br /> Amount$:, ' �Y <br /> CITY OF OROPIO—PLUMBING PERMIT <br /> (A{I Commercial Permits Must be Approved by the State Prior to City Approvai} <br /> f}�p://�+yvw.dli.mn.aov/CCLDIPDF/ae plumbulanrevaau.pcif <br /> GEN�RA� 1NFORMATIQN <br /> 1. You may apply for plumbing permits by mail or in person at the City offces. 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. V�1 ORK AAUST NOT BEGIN UNTiL THE PERMIT CARD IS <br /> POSTED ON THE JOB 81TE. <br /> 3. Plumbing permits may be issued ONLY to licensed ptumbing 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. AI(work must be done in accArdance with State Code tequirements. <br /> 6. AI!work must be inspected and air tested before it is covered. CaA (952)249-4600. <br /> (24-48 hour notice r�equired) <br /> TYPE OF PERMlT(Clieck Ai�That Appty) <br /> ❑ Residential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> `You will need arfor aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site!Qwner Informat�pn: <br /> � ``� �� L�r'� ��'`��E:� <br /> Site Address `1`��� �� � ' I`� S <br /> Owner: �`�'``` G`''I �"•'"^�S�:� Maifing Address: �Y�`� C��' ���'� I`�' <br /> City: L<t��`J �.-�-�-� Zip: 55 �.� � � <br /> Home Phone: ��� �3`���'�h '! Alternate Phone: <br /> Contractpr`lnformation:. <br /> Contractor: Q�•� P! �'"�''"���. E�c'E��}"�5 �, ��� Contact Person: `��_x?� �`�s�r�'� <br /> Address: � � y� �"}i`���'�z:�. �-,� �"'� State Bond#: ���� � a `b� <br /> , l <br /> City: 5� ' rv i , �"��`.�'� Zip: S�3"��' Expiration Date: ����'l/J�' <br /> Phone: �C-5 ��(��- '����1� z �l- +3�'� <br /> Alternate Phone: <br /> ❑ Insurance—Current: <br /> ,�:'. <br /> ;�< <br /> Paqe 1 �':' <br /> �`; <br /> 3: <br /> �: <br /> �: <br />