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11 <br /> '� City of Orono 11,TOR CITY USE O <br /> trisiQ�Q P.O. Box BE Date Re = :d: .Q�)3/—�1 <br /> 2750 Kelley Parkway Permit# JI, 4.O IS--cyo2 5 <br /> Crystal Bay,MN 55323 <br /> t, <br /> � � (957)249 A600-Main Apprnve.k, w4 (952)249-4616-Fax i'i, v 5 0 <br /> Amount <br /> CITY OF ORONO—PLUMBING PER I: <br /> (All Commercial Permits Must be Approved by the State Pr' , o City Approval) <br /> htt•://www.dIL.mn.•ov/CCLD/PDF/•e plumb•la. va• •.•df <br /> GENERAL INFORMATION i!I'Il <br /> 1. You may apply for plumbing permits by mail or in pereon at the Cit til r, ices. 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�!l • ERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN U THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. ! <br /> 3. Plumbing permits may he issued ONLY to licensed plumbing contra i• •rs and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate W'= •ung permit must be obtained. <br /> 5. All work mub1 be done in accordance with State Code requirement <br /> 6. All work must be inspected and air tested before it is covered. Cal .,•2)249-4600. <br /> (24-48 hour notice required) I ', <br /> TYPE OF PERMIT(Check All That Ap.1, <br /> HI <br /> ,Residential 17Commercial (Approval Required) [Ir`' L flow Device:❑AVB 0 PVB] <br /> III <br /> New ❑Additional ❑ Repairs 1, 1 (Replace <br /> ` 1 <br /> ❑ In Accessory Structure? H' <br /> `You will need Prior approval and may need CUP. (Per Orono Code, Chapter 78, Article IV) <br /> 11 <br /> Job Site/Owner Information: f <br /> Site Address: /15 Lt -^'_ <br /> Owner: Mailing Address: <br /> City: <br /> I <br /> Zip: 5-535 L I9 <br /> , <br /> Home Phone: Alternate Phone: 1'I'i _ <br /> 1i; <br /> Contractor Information: I I !� <br /> Contractor: ll C t T`1 p(.y Nta IAiI� Contact Person:'` 'i ( • 14P M <br /> `I <br /> I <br /> Address: . 8t 0 O Cyz- I+0 _W —State Bond #: I ,. C L/ f <br /> IEx Expiration Date: la 31 ) <br /> City: c ✓t Zip: I'�'l� p / / <br /> i <br /> Phone: ,~ ( Alternate Phon I <br /> Insurance–Current: <br /> 11 <br /> Page I3i! <br /> bti <br /> 58/T8 30dd JNIHWfIid AIM 170 ZZETEZEZ56 S17:0T 8TBZ/ZT/E0 <br />