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03/14/2018 13:13 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> . <br /> � ��� City of Ororo ;.:FOR CIN US 0 LY: :: <br /> _.. . .... <br /> O P.O. Box66 Date.Received:: '::..;�✓'f '� `. .:: .. , <br /> 2750 Kelley Parkway Perrrtit#.: � I <br /> a� � Crystal Bay, MN 55323 �Q�� 0���� <br /> 'f �� (952)249-4fi00—Main Approved By <br /> ��'�K�snoa (952)249-4616—Fax <br /> Amount$ �1' .�� .. ' <br /> C1TY OF ORONO -- PLUMB[NG PERMIT <br /> (AA Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:/lwww.dli.mn.ctovlCCLD/PDF/pe plumbplanrevapp.adf <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 wifl be sent by retum mail after a review is completed.,PERMITS ARE NOT VALID <br /> 11NTIL 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 t�licensed plumbing contractors and to property owners <br /> residing in the dwefling. <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. AI!work must be inspected and air tesied before it is covered. Call (952)249-4600. <br /> (24-48 hour notice required) , <br /> -. ....: ,...:.:.r.:..��..r.:�:�...::::"-' eh:� <br /> �....,:'..,.:��.:�::..:-......�..... ._ ... .:.n.�:..:...- _ <br /> . AI_:..: .�:. .....:.. ....�....... �.:i� <br /> .. v.4...... ....::� <br /> .... ..v.:..... ... . <br /> ,.v:.:..:.�::...;_.r,. <br /> ::.�.,..,,.::..t.i.:.::..:!...::.:.^.:.........�:.....:�....�.......:�.r.z:+::. �� ..: :: _.. . .:. .,. i.����.. t�J].!4+_P.?':'::t^::et:i.4.�.wF.:i.?i.:.`.�'::_"_::;...il.iu; . <br /> ` ,. ;_.�=:y,� .',.T;.. TYPE4�.PERMIT(:.Check'AIf;ThatApp�y); _ - ;;:y*:,��-�_�. �_ <br /> , <br /> � ,. ..__ --- ;.: <br /> _ _ ��w-:. ,. , ,:- : . ... , <br /> .�...A�_ <br /> �._._. <br /> _.:�._ ., . . t . <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, Artic[e I� <br /> :.....,._�..::.-....,:,,�� �x�:..,.;:..:....,....,:.::::� . . .t.;,::::::;:::;:;-;.,::;>:..,:...... .,_ ,. <br /> -- _ <br /> 'Job.��ite_l Owner;lnformatior�.;�,,;,. ;;:;:: : '...;F,�. :=- <br /> Site Address: �o1''I O �p�uc.� P��. <br /> r <br /> Owne��+nn+��� L��� Mailing Address: <br /> City: Zip: <br /> Home Phone: 61� - 53 a - �$9`� Altemate Phone: <br /> ,��.;::,r.:....:.:....:.:.:...:.:...:=........,.::........ ..,::.::.:...�,:.. <br /> `Gontractor:�nformation`:;���' <br /> ___ _ ;;.�:;.:;:,-;:;:;:.<�;.;;:.:.;:; <br /> Contractor, Contact Person: <br /> . �„ <br /> " Address: 603C� CULLIGA�J VVAY State Bond #: <br /> , ,�. <br /> ��_ E952) �33-720o Zip: Expiration Date: � <br /> Phone: Alternate Phone: <br /> ❑ Insurance —Currenfi: <br /> Page 1 <br />