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i . p 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 /> ti c` (952)249-4600-Main <br /> �e'�kEsnOv-`' (952)249-4616-Fax Approved By: <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.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 /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs <br /> ❑ 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 /> r <br /> Site Address: `o� \ v� ( �� INck{-5� �-�c�` <br /> fn r. <br /> Owner: (1{"` f V�� �q_c, Mailing Address: �aC ( I �C� C'�� <br /> � 4-Rok‘ <br /> City: e--) �O Acs Zip: .G---5-- 9/ <br /> Home Pho e: / - 0 Alternate Phone ..)/2-- " 2 - 4 0 Q.0 <br /> Contractor Information: <br /> \ <br /> Contractor: P/pQ—M6Lerz-T5 <br /> t I\Q Contact Person:( C' fekz ./1., e;.., 5 <br /> Address:'(,6, �(�-1 / - State Bond #: C 4 y-e? isi <br /> City: MO ( 71_))/) ,.////,4 �Zip: >% y Expiration Date:` <br /> Phol (2 (9 f6 '- �6' S Alternate Phone: /? '2'r� 6'5L <br /> nsurance - Current: <br /> Page 1 <br />