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Dec 05 16 12:45p Legend Services Inc 763-479-6003 p.2 <br /> �/�Q�. City of Ofono FOR CiTY USE ONLY <br /> r �� P.o� �nx 66 Date Recenred: —� � <br /> '.y�11 '�� 2750 Kelley Parkway <br /> ;� Crystal Bay,MN 55323 Permit# f -dlJ�� <br /> ��� t� (952)249-4600—Main A ro�ed B : �1( � <br /> k�r�*��,�' (952)249-4616—Fax PP Y .� <br /> Amount$: � �' � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (A!I Commercial Permits Must be Approved by the State Prior to City Approval) <br /> t�ttp:llwww_dli.mn.qov/CCLDlPDFIpe plumbplanrevapp.pdf <br /> GENERAL INF��MATI�N <br /> 1. You may apply for plumbing permits by mail or in person at fhe Ciry o#fices. Applications wila be <br /> reviewed and a perm�t will be issued within two working days. <br /> 2. Permit cards will be sent by retum mail atter a reyiew is completec3. PERMITS ARE NOT VALID <br /> UNTIL YOU RECE�VE A PERMIT. WORK MUST NOT BEGIN UI�ITlL THE PERMIT CARD IS <br /> POSTED ON THE JOB SfT�. <br /> 3. Plumbing perrnits rnay be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. 1Nhen any new construction or remodeling is involved, a separate building permit mus#be obtained. <br /> 5. All woric 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) 249-4800. <br /> (24-48 hour notice required) <br /> �_ TYPE OF PERMlT(Check All That Apply) <br /> �esidential ❑ Commercial (A�proval Required} [Backflow Device:❑ AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs [Replaoe <br /> ❑ �n Accessory Structure? <br /> "You wili need prior aqproval and may need CUP. (Per Orono City Code, Chapter 78, Ar�icle I� <br /> Job Site /Owner Information: <br /> Site Address; 3�'�� Se��-�-�-j L n� <br /> Owner: ���-f�`� Mailing Address: �%� �� -� b�'� <br /> City: Zip: <br /> Home Phone: Alternate P�one: <br /> Contractor Information: <br /> Contractor: _���j�:l� ����<<rs, ..:tr-� Contaot Person: ___C��l��- <br /> Address: �1 ,1��°x 3�1�2 St�ate 8ond#: ('L 6 Y�j5r1/ <br /> City: Lc�� � Zip; SS3S 7 E�iration Date: � 3�-f7 <br /> Phone: 7�3 -�/7`-�Pd� Alternate Phone: <br /> [�`Insurance—Current: ���'c 4��v-nf-�-S <br /> Page i <br />