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` � City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> � � Crystal Bay, MN 55323 Permit# f <br /> y � �o� (952)249-4600-Main Approved By: <br /> kFSH (952)249-4616—Fax <br /> 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/ae plumbplanrevapp.pdf <br /> G NIE L INFORMATION <br /> 1. u may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> viewed and a permit will be issued within finro working days. <br /> 2. rmit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> STED ON THE JOB SITE. <br /> 3. umbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> siding in the dwelling. <br /> 4. hen any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. I work must be done in accordance with State Code requirements. <br /> 6. work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> ( -48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> Re ential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> Ne �Additional ❑ Repairs ❑ Replace <br /> In cessory Structure? <br /> *Y will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Jo �it Owner lnformation: <br /> I S S�s � � <br /> Sit Ad ess: J� ��-� <br /> Ow Er: 1�� Mailing Address: ��� J �5�� <br /> Cit � � Zip: SS � S � <br /> Ho � P one: Alternate Phone: __C��Z ��� `l� S <br /> Co t� c r Information: <br /> Co trac r: � �U�✓� ontact Person: <br /> Ad ess 6� �� State Bond #: ����32�� <br /> City � �� Zip: s� Expiration Date: 3��Z�7 <br /> Pho e: ��� �� l� Alternate Phone: �SZ�Z�� �� � <br /> ❑ I sur ce— Current: (,� tJ n�, Z L 70����OC/�ZI <br /> Page 1 <br />