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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# <br /> ti �` (952)249-4600—Main <br /> kfsHO'A (952)249-4616—Fax Approved By: <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.dii.mn.gov/CCLD/PDF/pe 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 /> esidential ❑ Commercial (Approval Required) [Backflow Device: <br /> ❑AVB ❑PVB] <br /> 2'ITew ❑ Additional ❑ Repairs ❑ Replace <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: 2:x)(a`7 <br /> Owner: C�,e-,, C,,a,�. C=am Mailing Address: i S o so :��Za Akc nj <br /> City: 04 0,-A" Zip: 49`1 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 4<R(,;; Contact Person: <br /> Address: ,cam, -(.(-7 State Bond #: <br /> City: Zip: S�3� .3 Expiration Date: .z-�► <br /> Phone: 6(Z-Z1a7 S o L/ I Alternate Phone: <br /> Insurance — Current: �..+��,�� �.,�„z.�.� �;- c,-,y A�-�, <br /> Page 1 <br />