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95223331?7. 08:34:30 a.m. 02-19-2014 2/4 <br /> R rips.ONLY <br /> City of Orono22,�,!ti-126 I <br /> ��D� p.0.Box 66 Date Receive lqPermit# / <br /> O 2750 Kelley Parkway C A w, /�-7 <br /> Crystal Bay,MN 55323 Approved By: Amount$: a ' <br /> (952)249-4600-Main <br /> s (952)249.4616-Fax <br /> yFI, C' CITY OF ORONO—PLUMBING PERMIT <br /> t4k-fsHo -t <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> lrttp://www.dli,mn,eov/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 <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS 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 <br /> 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 <br /> (Check All That Apply) <br /> ❑Residential 0 Commercial(Approval Required) <br /> ❑New 0 Additional ?'Repairs Pt/te O'E L_ 0 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: g Z S L)A Y/N- A t�U <br /> Owner: L.t Y`t. C X Mailing Address: '.P 2.)D Ix.1 pt"<tiviakverAka <br /> City: g1 DE31'1 Zip: "S-`1,S <br /> Home Phone: 952. ~9411t—IA 16 C Alternate Phone: <br /> Contractor Information: <br /> Contractor: AO0CG 4'tD 11 c. A Jze &Contact Person: 11 <br /> Address: /2-g State Bond#: pc 1043 14 <br /> City: 54,4440 Aft Zip: Expiration Date: ‘D.- 31— <br /> Phone: 9E Z.` 4'. "S!bZ) Alternate Phone: ei5�' �j'j 3 13 <br /> ❑ Insurance—Current: `1%Y\ 16(i A 2 <br /> I <br />