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4 • <br /> cLpN City of Orono RECEIVED FOR g.TX USE O4Y <br /> 0 MAR 0 y P.O. Box 66 <br /> 2750 Kelley Parkway / <br /> ,, i Crystal Bay, MN 55323 Date Received:2O 7 Permit# �� -7 — N <br /> �0 (952)249-4600–Main Approved By: <br /> KfSHOA (952)249-4616–Fax <br /> N \ CITY OF ORONO Amount$: <br /> J��j \ . 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 ❑ 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 /> p <br /> Site Address: . tax's-' We A. 1,, [-el RIO() <br /> , j l� <br /> Owner:I Ie IRiC +'i(c rr - v.c.Mailing Address: 1471 f/ S- L k cez,t)&Ala aZu <br /> 11 � <br /> City:Le IA 5 .--j-357,� Zip: <br /> j <br /> Home Phone: Alternate Phone: /�� <br /> Contractor Information: <br /> Contractor: riVA r . PIO Nd i Contact Person: J Qrr <br /> Address: i3(1 LI4iNt& t\ - State Bond #: pc,�YH( <br /> City: c ItiC e, Zip: /IN Expiration Date: / --.3,-./9 <br /> Phone: `"14,3 --f3,3— 5 °0 Alternate Phone: <br /> ly1 Insurance- Current: (Lrt(d I, re ci (aS t <br /> Page 1 <br />