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12/14/16 WED 10:54 FAX 6517741007 FOREMOST MECH 2002 <br /> % pN City of Orono FOR CITY U E OtSILY <br /> O P.O.Box 66 Date Received: . _ <br /> r } 2750 Kelley Parkway <br /> s , Crystal Bay,MN 55323 Permit <br /> ' (952)249-4600—Main Approved By: <br /> 4tnoR.� (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:/Iwww.dli.mn.gov/CCLDIPDF/pe plumbplanrevappmdf <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 will 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 All That Apply) <br /> [Residential ❑ Commercial (Approval Required) [Backflow Device:❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs [2eplace <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: 3LO�1E' -T©W VU 0 <br /> Owner:Me,l V i Y\ K i Y-0 t?u.)0--Z Mailing Address: <br /> city:�-)lce- l 51 o,( zip: 5 53 1 <br /> 2� T <br /> Home Phone: Cr Sd"'''(a,3 1-1 q ,J�Alternate Phone: <br /> Contractor Information: <br /> Contractor:mCqkj l fty'\ 25'ras Contact Person: M a-al UA.(,IMA(k1 <br /> Address: -\-10 �tVJy 4i �,;(O EQ� � State Bond#: Gj Y <br /> City: "ck- C'W 0) 0 Zip: �5�G °� Expiration Date: to 131 <br /> Phone:(PSt .`ac�a_ �� Alternate Phone: <br /> [ginsurance—Current: <br /> Page 1 <br />