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. � <br /> t •� <br /> �p�`�, City of Orono FOR US ��v��/ <br /> /' �' �t��`,, P.O. Box 66 KC�+L��`1/��'[j Date Received: �� '��.' l�.G���� � <br /> (` `� 2750 Kelley Parkway permit# � C� ��/ � <br /> t R�' ;; Crystal Bay, MN 55323 SEP � �j ��,� � <br /> `��� ��,,� (952)249�600—Main Approved By: <br /> .,�rsxu�s (952)249�616—Fax <br /> ��-M""� CI7Y OF ORONO Amount$: <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 wili 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 Ail That Apply) <br /> f� 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: '' � y <br /> Owner:�,c����,�`����aili Address: �//��__r���, L���,/.'�-E'� <br /> City: ' Zip: ����� <br /> Home Phone: ��—��'"d���� Alternate Phone: <br /> Contractor Information: <br /> Contractor: �,J����[.4�-y'��P' Contact Person <br /> '/ � � <br /> Address: �O� �.� State Bond #: <br /> � ' <br /> City: ��.� , Zip: '�� �� � Expiration Date: `� <br /> Phone: �(��`"���[�`��C�� Alternate Phone: <br /> , Insurance — Current: <br /> Page 1 <br />