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. a <br /> 1ON City of Orono FOR CITY USE O LY <br /> M1 P.O. Box 66 Date Received: -/2-f T <br /> 2750 Kelley Parkway Permit# )A $-C6( w' <br /> . Crystal Bay, MN 55323 <br /> y���� �c` (952)249-4600—Main Approved By: <br /> kEsHo (952)249-4616—Fax ,.rte <br /> Amount$: ( ; CID <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.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 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. All work 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 /> ❑ Residential M Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]Mm <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 IV) <br /> Job Site / Owner Information: <br /> Site Address: 265 Orono Orchard Rd S Wayzata, MN 55391 <br /> Owner: Jason Goehring Mailing Address: 2750 Kelley Parkway <br /> City: Orono Zip: 55356 <br /> Home Phone: Alternate Phone: 1-952-249-4684 <br /> Contractor Information: <br /> Contractor: BRS Enterprises Contact Person: Nichole Nielsen <br /> Address: 8530 Eagle Point Blvd State Bond #: BC686374 <br /> City: Lake Elmo Zip: 55042 Expiration Date: 3/31/20 <br /> Phone: 920.450.1217 Alternate Phone: dave 651.274.5329 <br /> Insurance — Current: <br /> Page 1 <br />