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pN 4F City of Orono FOR CITY USE`O�NL/ 7 <br /> ' P.O. Box 66 Date Received: / a� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Permit# ��(�1 <br /> (952)249-4600—Main <br /> ApIxoved By: <br /> gkF3H�r�y/ (952)249-4616—Fax <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 /> Residential ❑Commercial (Approval Required) [Backflow Device:❑AVB [I PVB] <br /> Dd 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: 3 q; 5 U_�401_on "90J <br /> Owner. Ko_kfha s l canS� , Mailing Address: <br /> City: Zip: <br /> Home Phone: 3?D__J(o Alternate Phone: <br /> Contractor Information: A&rm'uContractor. S* T. Kir, �J'1C. Contact Person: �3ffP <br /> Address: 'Pc c�', qgg State Bond #: PC(A � c�3_1 <br /> City: )S Zip: 5 Expiration Date: I a -A <br /> Phone: J� OO `3 Alternate Phone: <br /> Insurance—current: Ixj\-O 01.t)VW S <br /> Page 1 <br />