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I 4-tuuz 12:50pm From-CITY OF ORONO +9522494616 T-580 P.001/002 F-730 <br /> CI1 Y OF ORONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> GEL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL <br /> YOU RECEIVE A PERMIT. . O• .�� T s - B e NIL LEP: _ :.: ' ?. ' EO <br /> THE lop SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing <br /> 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 the State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. 24-hour notice <br /> required. <br /> InstrjIctions Complete all items on this application, Compute the permit fee. Sign and date the <br /> certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have <br /> questions, call (952) 249-4600. <br /> • <br /> Please check one: ew Addition Repair ✓ Replace <br /> residential Commercial <br /> .IOB SITE: 4 15 _ if- 9fp. 3 <br /> Owner's Name: Q,u Cel 0 -e.-c)-c. Telephone Nwuber: D <br /> Mailing Address: A/5'65 ua 7te 74t, City: y 700. Zip: _5'651,--,/ <br /> Contractor's Name: `fid y° 47404,0{t-t_12.4) Telephone Number: <br /> Mailing Address: ,3610 3r,- Q City: X -49/Yin.Zip; .2.3 <br /> PLTJMAING FIXTURE $CIIEDLTLB <br /> FIXTURE BSMT 1ST 2ND 1 OTHER FIXTURE BSMT 1ST 2ND OTHER <br /> TYPE t FL FL TYPE FL FL <br /> Water Closet Floor Drains .._. <br /> Lavatory _ Sewer Ejector -. -— <br /> Bathtub _ Lau. Tra <br /> Shower Washer <br /> Kitchen Sink Water Heater <br /> Disposal Water Softener _____._-- <br /> Dishwasher Wet Bar <br /> Sillcocks Mise(list) — <br /> 4/ 9, ot) <br />