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N <br /> L-0 City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: 4- - A3 -/.h <br /> 2750 Kelley Parkway r� <br /> Crystal Bay, MN 55323 Permit# CSD/�o 7 t' <br /> (952)249-4600—Main Approved B <br /> KFSHo4 (952)249-4616—Fax pp y' <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 plum bplanrevapp.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: ❑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: �� '/dG� �, 1-fel) <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: j , � <br /> Contractor: a)ljl ,���* C Contact Person: / 7144 <br /> Address: /M 0r� 5 State Bond #: <br /> City: &' 4 ,- Zip: A ff30� Expiration Date: )Z//7 <br /> Phone: -7-ol1 --713_- � Alternate Phone: <br /> [� Insurance — Current: <br /> Page 1 <br />