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1 <br /> 08/21/2017 13:38 FAX 9529335049 CULLIGAN ➢�NTKA [�j002 <br /> �p� City of Orono FOR CITY USE ONLY <br /> � � P.O. Box 66 Date Rece�ved: ��/ % �7�r7c75S <br /> 2750 Kelley Parkway <br /> � ,, �, Crystal Bay, MN 55323 Permit# - � �1 �� <br /> o` (952}249-4600—Main Approved:By <br /> ���KFSH�a� (952)249-4616—Fax � `�- <br /> Amount�.': ' ' <br /> CITY OF ORONO -- PLUMBiNG PERM[T <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.aovlCCLD/PDF/pe plumbR�anrevapp.pdf <br /> GENERAL 1NFORMATION ' ' ' ' `, ` , , <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 wilf be issued within two working days, <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL1D <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN lJNT[L THE PERM13 CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to ficensed pfumbing 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. Alf work must be done in accordance with State Code requirements. <br /> 6. AI!work must be inspected and air tested before it is covered. Call (952)249-4600. <br /> (24�48 hour notice required} <br /> , ,, , <br /> : TYPE OF PERMfT(CFieck A!I That:Apply) ' <br /> �Residential ❑ Commercial (Approva! Required) [Backflow Device: �AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs �Replace <br /> ❑ ln Accessory Structure? <br /> *You will neecf prior approvaf and may need CUP. (Per Orono City Code, Chapter 78, Article 1� <br /> Job'$ite/Owner;',Information:;: <br /> SiteAddress: o�� �� S�4 ar W Ood1 riv� <br /> Owner: b M A��..t� ��r Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: �� � - �� � - �a�� <br /> Contractor:lnformation ;_, <br /> Contractor: Contact Person: <br /> .u��IGAN WAT�p CONDITIONIN ' <br /> Address: 603o cuL����� yuqy �tate Bond #: <br /> MI�INET4NKA, MN 5,345 <br /> City: (9�?y 933-7200 Zip: �xpiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 9 <br />