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� . <br /> City of Orono FOR-CITY USE ONLY <br /> �? P.O. Box 66 Date Received: 7 <br /> 2750 Kelley Parkway l Q� g-76 <br /> Crystal Bay, MN 55323 Permit# 4- - <br /> (952)249-4600—Main <br /> Approved BY <br /> (952)249-4616—Fax pp <br /> Amount$: L-' <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:l/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 /> residential ❑ Commercial (Approval Required) [Backflow Device: E]AVB ❑ PVB] <br /> ❑ New ❑ 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: 55 1Ra <br /> Owner:c �uAS ) N-C�L_)rI Mailing Address: <br /> Sc�rrct.x� i3urx.-�n <br /> City: Zip. <br /> Home Phone: US1-D-lu -5SSy S Alternate Phone: <br /> Contractor Information: <br /> Contractor: (��CY-c',rd o_ Lnc, Contact Person: IR�cYli�r-d <br /> Address-._IU W W, State Bond #: l -312_l_DLA 323 <br /> City.. S�- Loki 20rV, Zip: bl )L4 LO Expiration Date: <br /> Phone: CAE <br /> -DI-2-LAC) Alternate Phone: qSZ-G ZO 171.�,G <br /> [Insurance — Current: Pr 1_9Dt71t�_c� �5nr���n���C� �e -,)ic-e� <br /> �r-� .c.c�r� <br />