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12/14/2016 09:Oa FAX 9529335049 CtiLLIGAN MNTKA �002
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<br /> ` ��Q Gity of Orono ��" �';, r;:;,',',FQF7;CITYUSE'ONLY�,'�:'���'���.
<br /> P.o. Box s6 Date Received: "�'���'%�l�L'r�1��11���
<br /> 2750KeIleyParkway ;P�Emilt�#�'"i:� ,�i'!�' I�: fl��, ��,'
<br /> � Crystal Bay� MN 55323 � ,•;,��, �,,,,... .�,��„ � � � •; M,',,,�'}r, ' ' J
<br /> R ' c? (952)249-4600—Main '��PProved By:� '�h'�;i: �,;�; '���" `�N^��:�;,`i;.;,,����:'i"�����
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<br /> ��Amount�$:•����: :`+.� ��'�' i�'��.:.���
<br /> CITY OF ORONO�-PL.UMBING PERMIT
<br /> (All Commercial Permits Must be Approved by the State Prior to City Approval)
<br /> httn•//www dli.mn. ov/CCLD/PDF! e lumbalanrevapp.adf
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<br /> ..GENERAL;��INF,ORMATION�r�;i�r �„�;;;�� ;,,r,��ij��:�i�;r��:;������ .�;�q9i1nMYYC4ilb���iqliiw�i�' ;�:�� ,i����,�����,�, .�a��,��i�,���;,�.;,����� �:u;�;�,.i�.� �„p.�
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<br /> 1. You may appiy for plumbing permits by mail or in person at the City offices_ Applica#ions will be
<br /> reviewed and a permit will be issued within two working days.
<br /> 2_ I�ermit cards will be sent by retum maii after a review is completed.,PERMITS ARE NOT VAL[D
<br /> UNTIL YOU REC�IV�A PERMIT. WORK MUST NOT BEGIN UNTiI.THE PERMIT CARD IS
<br /> POSTED ON THE JOB S(TE.
<br /> 3_ Plumbing permits may be issued aNLY to licensed plumbing contractors and to properiy awners
<br /> residing in the dwelling.
<br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained.
<br /> 5. AII work must be done in accordance with State Code requirements.
<br /> 6. All work must be inspected and air tested before it is covered. Ca11(952)�249-A�60�.
<br /> (24-48 hour notice requi�ed) .
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<br /> �Residential ❑ Commercial (Approval Required) [Bsckflow pevice:❑AVB ❑PVB]
<br /> �New ❑Additional ❑ Repairs ❑ Replace
<br /> ❑ In Accessory Structure?
<br /> "You will need privr approval and may need CUP. (Per Orono City Code, Chapter 78,Ar�icle 11/)
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<br /> �;Job';`•;Site���;,;�w'n"er.�,tn�'ormation.�;;,,;,;: ���;��;,� ..;,,:�r�::r:c:�
<br /> Site Address:,_��o� .S�ru.t� �� °
<br /> Owner. ' .�� ���� Mailing Address:
<br /> �;ty; Zip: SS �
<br /> Home Phone: � �- a��` �ti l� Altemate Phone:
<br /> ��;,C,oritract'QrprnfoRri'ati�?n:;;:�'""�`�w�;,a��;,��y�i��� !��,�'���� ;?i�r`����'"�
<br /> � . .�... , .,.,.,,.., . . „ ,.�.,,,.,,, , � � „ .,
<br /> Contractor. Contact Person: �
<br /> .,,���EGAN 11VATER Ca �
<br /> Address: 6030 CUL�IGAN WAY $tate Bond #:
<br /> , MINf��TO ,
<br /> ���: _ � (95�) 933-7240 Zip: �pi�,tion Date:
<br /> Phone: Alternate Phone: .5 ��l� - �� �
<br /> ❑ lnsurance— Current:
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