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SpA City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# <br /> m�`1 ��c` (952)249-4600-Main Approved By: <br /> 45140 (952)249-4616-Fax <br /> Amount$: <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 /> 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 /> )) <br /> ,, - <br /> Site Address: 1�d 1 W 6� ��.�� 2 <br /> Owner:5� �il0�, Yr kAk106(1 Mailing Address I 5 , WeSt Foll'A <br /> I, n City: 2-0(1-2-0(1- Lack/ Zip: &_5-J-* <br /> Home Phone: 3P - 560 - q15..)- Alternate Phone: <br /> Contractor Information: (Contractor: V( P/ L J` Contact Person: L5 eavi/ct id <br /> LA) <br /> Address: (g60` g w€S-- Cd(kY6A4k 4 State Bond #: FC 6 1 I /3 <br /> City: Lov 1-0, Zip:X51.2 Expiration Date: <br /> Phone: 9.5.2-/ .3-- 5?-9 3 Alternate Phone: <br /> Insurance - Current: 7e S <br /> Page 1 <br />