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` City of Orono FOR CITY QSE ONLY <br /> O P.O. Box 66 RECEIVED Date Received: -ZD <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# opi�-�oJD <br /> APR G 3 201 <br /> (952)249-4600—Main <br /> ~. �� <br /> .,.Ktsr+�� � (952)249-4616—Fax Approved By: <br /> CITY OF ORONO Amount$: 53. Gz-) <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 ON[_Y 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 ❑ PVBI <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: 1350 VMe, ` 4<Ct_ Ormo MN W5 64 <br /> Owner: 3'1u�Ta,titi4. 6l t.4c, Mailing Address: (35b V"11,,-, <br /> City:_O Or a Pycp Zip: -,/ L4 <br /> Home Phone: &!Z ' Alternate Phone: <br /> Contractor Information: <br /> Champbn PiUl�i0g <br /> Contractor: — <br /> PC 000308 <br /> Address: 651- -1340 .: <br /> 3670 Dodd RQat <br /> City: EQPn, MN 55123 <br /> ❑ Insurance — Current: <br /> Page 1 <br />