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�2/26/2017 11:33 FA% 9529335049 CULLIGAN �NTRA f�002
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<br /> ���. City of Orono :r ::,r.. ,_:FOR.CITY USE„ONLY .:= - .
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<br /> P.O. Box 66 ,Qate.Received: � = = .:: .. :�..,.. ..... < . ,
<br /> 2750 Ketley Parkway :.:: �_:':.::: ..:� : � ::: ,. , . .,•.� •r '
<br /> ,� �, Crystal Bay,MN 55323 Pe�mit#. ;; : - _
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<br /> CITY OF ORONO– PLUMBtNG PERMIT
<br /> (All Commercial Permits Must be Approved by the State Prior to City Approval}
<br /> http:Ilwww.d{i.mn.Qov/CCLDlPDFIpe plumbp[anrevaaa.pdf
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<br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wilk 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 /> UNT1L YOU RECEIVE A PERMIT. WORK MLJST NOT BEGIN UNT1L THE PERMIT CARD IS
<br /> POSTED ON THE JOB S{TE.
<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 invokved, a separate building permi�must be obtained.
<br /> 5. All work must be done in accordance with State Code requirementS.
<br /> 6. AI!work must be inspected and air tested before it is covered. Cali (952) 249-4600.
<br /> {24-48 hour notice requlred)
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<br /> �Residential ❑ Commercial (Approval Reauired) [BackflowDevice:�AVB ❑PVB]
<br /> �New ❑Additiona! � ❑ Repairs ❑ Replace
<br /> ❑ In Accessory Structure?
<br /> *You wtlf need prior auprovat and may need CUP. (Per Orono City Code, Chapter 78,Article I�
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<br /> Site Address: 4 1�s Cour� 4 Kcx �
<br /> Owner�or� � Q����ar� Maifing Address:
<br /> City: Zip: �
<br /> Home Phone: Altemate Phone: 6) a � �1 � ��� �f
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<br /> Contractor: .u�ut�arv �rv,�r�R r,r��urzE,-tn��itact Person:
<br /> 6031� CULLIGAf� WAY
<br /> Address: , MINNETONKA, Mn� ��aati State Bond #:
<br /> css�� Qa�•���o
<br /> City: Zip: Expiration Date:
<br /> Phone: Altemate Phone:
<br /> ❑ Insurance--Current:
<br /> Pege 1
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