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O'N City of Orono FOR CITY USE ONLY <br /> 7 P.O.P.O. Box 66 Date Received: (-�s -/r <br /> 2750 Kelley Parkway <br /> A‘1 4./ Crystal Bay, MN 55323 Permit# 2 0(�T"6v S"�-�-f' <br /> �� (952)249-4600—Main Approved By: 411, <br /> .,f,,,__ � (952)249-4616—Fax <br /> (\\.,,, Amount$: 1O. 5---s--- <br /> CITY <br /> �CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> ❑ Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs l'Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: o f CO L \-f f 4 vti iNl R (g4(-).. <br /> Owner: /r;1n/cV)n Rkc�lzt1 r Mailing Address: L//OO Ld,9-�f+c: r C <br /> City: A/4101 e ?(Oi;it MA/ Zip: _SS 7, ceA <br /> Home Phone: MoLlt. 0 ),'SI®7%9 , Alternate Phone: <br /> Contractor Information: <br /> y1 L .JMC Contact Person: � h- / A L <br /> Contractor: /$'eoPwh �n� <br /> C 7©w OC s <br /> Address: _St/S A Ii3i 'r+nch th_ State Bond #: ! -7O9 €OM <br /> p,.Os,.. 7 C /(4 <br /> /Jlll9/j•mC <br /> 3City: -oL_1h- . AV Zip: 5-47?5-(7 Expiration Date: <br /> Phone: 9s)._ ?.to (068( Alternate Phone: 4.1.)6 953 clY9 PS-89 <br /> ® Insurance - Current: Ft er prt z, 1N S <br /> Page 1 <br />