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, <br /> R �T�'Y U5�U1��;X <br /> City 0�0�'ono Date RecoiveA,' �s Psrar►it#�`5+ <br /> ��� P.O.Hax 6b <br /> � 2750 Kclley Parkway <br /> Crystsl Bay,M�d 55323 .A:ppraved By: . ` Atnount$:�„ <br /> (95�)249�600�Main <br /> ►; (952)249-4676—kaM <br /> �� �� C�TY OF 4RON0—PLUMB�NG PE�T <br /> � <br /> '�"��sr�d& (AU Commercial�er�t�its Must be A,pproved by tb�e State Prior to Ci�ty Approval) <br /> htt :/Iww�vv.d��.mn. ov/CC A/PD�I e �u�ou laureva . df <br /> GENER.AX,iNFORIv�,P�T10N c � <br /> l. Xdu may apply�or plurnbing pe�rr�its by mail or in pezson at the City p�fces. Ap��zca�ions will be <br /> reviewed a�d a pernut will be xssued withun two vuorking days. <br /> 2. �ermit cards wi��be se�nt by retiu�n mai�a#�er a review is conapleted. PERM��'S ARE N�O'� <br /> 'VALID UN`�,Y'OU RECEI�A PBRAIITF. W O�K 1�I[J,S�'NO'T�'�EGIN UN'��T.T�IE <br /> PE CARD IS�O D UN THE JO 57TE. <br /> 3. �tumbing�e��ts may be issued ONT�Y to licensed plumbing contractors and to property awr►ers <br /> residiing ir�the dwelling. <br /> 4, When any n,ew cons�ction or iemodeling is involved,a separate buildang permit must be <br /> obtaiu�ed. <br /> 5.. All wark must be done in accordance wxth State Code zequiremen�ts. <br /> 6. . ALl work znust be insp�ted aztd air tested befo�e it is covered. Ca,li(952)249-4b40. <br /> (2�}-48 teour notice�eqoired) . <br /> . . <br /> ; TYPE OF PERII�IIT' <br /> �heek Al��� 1 . <br /> ,�Residential �Commercial.(.A,p�rova!Reyuured) <br /> �,]New ❑Additional �Repairs �Replace <br /> ❑ In Accessory Struchue? <br /> � *Xou�will necd p�rior annroval and may need CUP.(�er Orono City Gode,Chapter 78,.Asticle N) <br /> Jqb Site/Ov►mer Ynformatzo;�: <br /> � Si�e Address� <br /> Ow�er:�C���t� I�� N�ai,lir�P�ddress: �I�O SI/� � , <br /> City: �j Zi�: ���� — <br /> Home Pk�at�e: ' ^�Jo-'Alternate Pk�4ne' <br /> Confractor Informatiozz: <br /> Contractox: t,��:.) ��t/l Cll�Gu �n.C• Contact Pe�rson: �e,,��� <br /> �ddress: ������G�� ,1� State Bon;d#; <br /> City: ��S[� Zip:��O Ex�irat�on Date: (� � � <br /> Pk�one: ���„'�1� ,AJ.ter�ate Phone; <br /> /' � - <br /> ❑ Inswra�nce-Curren.fi � <br /> 1 <br /> ��� + <br />