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/4ON\. City of Orono R CHVED FOR CITY USE ONLY <br /> / 0ilic. P.O. Box 66 Date Received: <br /> �V � 2750 Kelley Parkway MAR /poi 9„ "0397 <br /> Crystal Bay, MN 55323 3 18 Permit# o} <br /> (952)249-4600-Main <br /> ��`4 esS�eo*-,f (952)249-4616-Fax CITY OF ORONO Approved 13y: <br /> Amount$: i/i/) <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.gov/CCLD/PDFtpe plumbplanrevapp.pdf <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 /> n Residential IY Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> `V New [ Additional n Repairs 111 Replace <br /> fl 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: -J30 04 Love Lok� 1 <br /> Owner:1,.Jo,/ zal-ot CoLy\ -/tC,ItAltiailing Address: Z Way Locv el J <br /> � <br /> City: (,k)a y z0. Zip: SS-4? I <br /> Home Phone: (C)2: - ti 7 3- q.y4, Alternate Phone: <br /> Contractor Information: <br /> j ' GtSV <br /> Contractor: -HG1tc.S pi 0,y01b;`i.073 Contact Person: o 0 <br /> Address: 1 0c10 00-c 13 � q< T(,l State Bond #: Pe-__ h Y 39 33 <br /> City: LTi L,-.5-0A-v_ Zip: 5SOC<z Expiration Date: I431//9 <br /> Phone: 6-5 t- L/31 - O z9( Alternate Phone: Com( ' 3O - OS' 7 <br /> Insurance — Current: Je,c-t,((A `fit' r 31111 <br /> Page 1 <br />