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� � ' p City of Orono FOR CITY ySoE ON��� <br /> ` � �� P.O. Box 66 Date Received: <br /> '; 2750 Kelley Parkway d� � � ^O � <br /> �� � Crystal Bay, MN 55323 Permit# cZ <br /> \yF�'1 � (952)249-4600-Main <br /> �'kESHo�� (g52)249-4616-Fax Approved By: <br /> �-__-- <br /> Amount$: '� <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.qov/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 ❑ Commercial (Approval Required) [Backflow Device: ❑ 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 IV) <br /> Job Site / Owner Information: <br /> , )� <br /> Site Address: � 1��'I, <br /> t 1 ' <br /> ' � , g I j`�i�'� `�l� �' -� ' <br /> Owner: ti Mailin Address: �4 �,����v <br /> City: 1 V� �� Zip: ���Ol <br /> .� �/��� i ) <br /> Home Phone: Alternate Phone: ����� I,J l� J `�`7 <br /> Contractor Information: <br /> Contractor: 6 � �i 1�1�' �' Contact Person: �''�' - ` Q;� <br /> Address C�� ! � ' ` State Bond #: �� L �` <br /> ,.-� <br /> City: �� � �'� Zip: ��/ `C Expiration Date:� 1'� I � <br /> Phone:� �"r'�/�t'���� '���(� Alternate Phone: ��� �_���'��7 % -' <br /> �f Insurance - Current: <br /> � <br /> Page 1 <br />