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�p� City of Orono FOR CITY USE ONLY ,� <br /> � O P.O. Box 66 Date Received: .:? ( / J •��-,!��L ) <br /> 2750 Kelley Parkway r� <br /> y � Crystal Bay, MN 55323 Permit# �%`.,��7 <br /> c,` (952)249-4600—Main '-- <br /> ��qkfSH04�" (952)249-4616—Fax Approved By:_ �;��;) <br /> Amount$: j! �`.�? <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 aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/ Owner Information: <br /> Site Address: � o`�� 5��4-�S ;q-�_ O �'an p SS3�J <br /> Owner:C,T}��,�•s a �•�s�cr �� Mailing Address: �S►�s .S v:,h ti�,�,,• ,(�� <br /> City: �i r��;� Zip: �5 y Z� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: '�n�} S�pc)a�a lA)c�ll ContactPerson: `�.c,{L <br /> Address: ,,3�`� I 1� M a►n �'� State Bond #: <br /> City: ��- �o�^ , Zip: �S 3 ��S'� Expiration Date: <br /> Phone: `� ,�- � u � c13�. � Alternate Phone: <br /> � Insurance — Current: <br /> Page 1 <br />