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SON City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: `7'rrC3 `� <br /> 2750 Kelley Parkway Permit# c,�0�� �� <br /> A <br /> Crystal Bay, MN 55323 t <br /> tv,c` (952)249-4600-MainApproved By: <br /> KESHoc-t (952)249-4616-Fax <br /> Amount$: ,IJ <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.qov/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 /> XResidential ❑ Commercial (Approval Required) [Backflow Device: E 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: Rurt <br /> Site Address: 160 t,Vde 1 }�: 15 <br /> r - o <br /> Owners h flels dn Mailing Address: aI6 ^v ` ---1 t(S gJ <br /> City:W 0.l46vZip: ,6639 ( <br /> Home Phone: 621r)-- 21P- & (2.Alternate Phone: <br /> Contractor Information: <br /> Contractor: C t1( I/ `"eu ( ( /r1/ ontact Person: <br /> foilq( -1-<6 <br /> Address: ���° "!p \J� w6'r A(6 tate Bond #: it flilgl <br /> City:1-611 tc(,U W JO Zip: ��36 Expiration Date: 10110 / <br /> Phone: ci( 9- 175- . ( -9.-5 Alternate Phone: <br /> Insurance - Current: Ye.- <br /> Page 1 <br />