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�pN , City of Orono FOR�T�' USE ONLY <br /> � O P.O. Box 66 Date Received: 7- i��J-!�h <br /> 2750 Kelley Parkway /,, <br /> -\1 _ Crystal Bay, MN 55323 Permit# ���w - o � a3 <br /> �\`��1 �` (952)249-4600-Main <br /> ��''���►+"j' (952)249-4616-Fax Approved By: <br /> Amount$: ��. O� <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 /> Site Address: �n Sv�n►� �� <br /> Owner:�.���''t ���� Mailing Address: �� Sm�'�'f"� ��• <br /> City: �r'v'no Zip: 55�� � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �'1�'�c�-S�n �Q�bq�- t-+'�-q Contact Person: L on ���+'�.c�.S�''� <br /> Address: ��8� ���'�'����� State Bond #: I OtoO� °Il 0�3 <br /> City: O.�ho�t�oo�-- zip: ��331 Expiration Date: '�I�a'�� <br /> Phone: °�Sa-�-l-7�---1�00 Alternate Phone: qsa � 5aq� �'jla8 <br /> �Insurance — Current: �.r'� �� �ar�n.��� � aa-XG q g� I - 01 <br /> Page 1 <br />