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R <br /> t SpA City of Orono FOR CITY USE ONLY <br /> 0P.O. Box 66 <br /> t0, Date Received: 11-1 -17 <br /> 2750 Kelley Parkway <br /> A 4 Crystal Bay, MN 55323 Permit# 02.D/7-CIL/.2CIL/.25 <br /> �6- (952)249-4600-Main A roved By: l o�c v A- <br /> ktsHov- (952)249-4616-Fax pp <br /> Amount$: ,'5- , q <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.dov/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: <br /> ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ;1eP lace <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: T 9 S --/, /IL/Ls 1 .,,,z L <br /> Owner: 71/47/ i 7- c Mailing Address: 14,-,-,Z,-- <br /> City: GYZ4 -3 o Zip: <br /> Home Phone: 1¶Z - 3S-3-'1(- Alternate Phone: 6 / Z - 2j7-6-CS- <br /> Contractor Information: <br /> Contractor: ' Contact Person: <br /> Address: State Bond #: <br /> City: / Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance - Current: <br /> Page 1 <br />