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�� y......� _ <br /> j� �Q�`ti, C�ty Of O�OitO FOR C' Y US N'Y <br /> ! O P.O.Box 66 Date Reaeived: l <br /> 2750 Keiley Parkway <br /> ��,� Crystat Bay,MN 55323 Permit#_,� / <br /> � e� (952)249-4600–Main <br /> �`'�Fska�` Approved By: <br /> �.� (952)249-4616–Fax � <br /> � Ptrnount$: ��i• `J <br /> CITY OF ORONO—PLUAMBIMG PERMIT <br /> (AH Commerciai Permits Must be Approved by the State Prior to City Rpproval} <br /> y����;t����r�a��;.�r���=�:'���,�1�����a��fi.�����s�ev���r.s�ciF� <br /> GENERAL INFORMAT1t7N <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications witl be <br /> reviewed and a permi#will be issued within finro warking days. <br /> 2. Permit cards will be sent by return maif after a review is compieted. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERM#T. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SiTE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to p�aperty owners <br /> � residing in the dwelling. <br /> 4. When any new construc#ion or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be dane in accordance with State Code requirements. <br /> 6. �Afl work must be inspected and air tested before it is covered. Call(952)249-4600. <br /> (24-4$hour notice required) <br /> TYPE OF PERMlT(Check All That Apply} <br /> `�Residential �Commercial (Approval Required) [Backflow Device:0 AVB ❑PVB] <br /> � � <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 1� <br /> Job Site/Owner Information: <br /> Site Address: �� 1 � ��`�� <br /> �wner. �lJ d���a� Mailing Add�ess: `�� �7�0.y/ �riv�¢.- <br /> c�ty: C�r�rti b z�p: 553�� . <br /> Home Phone: Alternate Phone: <br /> Contractor lnformation: <br /> Contraetor.�a��� ��� Contaat Person: z...J C��.��t-Q- ������ <br /> Address: ���� ����Gl, ��i� State Bond#: ���y�� <br /> City: <br /> � �--�1��- �a-��- Zip:����JZ- Expira#ion Date: � 1� <br /> Phone: � � �� �"� Alternate Phone: <br /> �Jt Insurance—Current: � ____ <br /> Page 1 <br /> � <br /> � — ---------- ----._.. - __._—.....--- _ ___-- <br />