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H01-' 4`)N City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 da'.) <br /> Date Received: <br /> ( 2750 KelleyParkwayf <br /> 4 Crystal Bay, MN 55323 RETE VE® :;Td ' <br /> 6//f7-Main By: 4 <br /> 7KfsHOQ� (952)249-4616-Fax <br /> DEC ' 6Z01t Amount$: 5-3.25 <br /> CITY OQI 4i eI'RLUMBING 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 /> VResidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB E 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: kfit <br /> Site Address: N Id r S+ Tr <br /> Owner: r-l-k Lc rl_e cttMailing Address: S1,'1' <br /> City: '^ �/ Zip: <br /> Home Phone: Ul I ? " tall b Alternate Phone: <br /> Contractor Information: <br /> � <br /> Contractor: Igita6ct G�ht�r`�Gcvt_.�fK- Prson: <br /> AltiA,tfC (d-SS <br /> �i� (CLI- --(703 <br /> ,,r I ? <br /> Address: Sit b 1 r I�l.�-'�'),Q1i10(( PIZtate Bond #: pc U�LI" ?OJ <br /> City: M4&) 4OpL Zip: S-57'n Expiration Date: i 21117 <br /> Phone: 1a" 23° q- Alternate Phone: <br /> ❑ Insurance- Current: <br /> Page 1 <br />