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{ � �pN City of Orono FOR TY USE ONLY O P.O. Box 66 Date Received: �-��-/� 2750 Keiley Parkway — y �. Crystai Bay, MN 55323 Permit# �� 7 � O!! 4 �^ c> (952)249-4600–Main `�'KESH�a�` (952)249-4616–Fax Approved By: Amount$: 1 l�� CT� CITY OF ORONO — PLUMBING PERMIT (All Commercial Permits Must be Approved by the State Prior to City Approval) http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp pdf GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing in the dwelling. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. (24-48 hour notice required) TYPE OF PERMIT(Check All That Apply) � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB ] ❑ New ❑ Additional ❑ Repairs ❑ Replace ❑ In Accessory Structure? *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) Job Site / Owner Information: Site Address: �� ix�r � le � �P Owner: /� c�e�«,� t-/ yv� Mailing Address: CitY: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �y Gl � ��US h �n L Contact Person: �� l.J Add ress: �z S y � -�-�%p p � rC P k- State Bond #: �L ��9 y � C� City: �J �C.�/ �11 w Zip: �5 � 7 � Expiration Date: / Z �i � ? Phone: ( � � � y3 r ��5 Alternate Phone: �� Insurance — Current: _ 1'�'1,� �JU�(,c, �r,,an�E-�/ mAk j�p� Z � Page 1