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iii <br /> ii,biv City of Orono <br /> FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: //-/5/7 <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# o2D/ 7-D/5 D 7 <br /> y1^ 6' (952)249-4600-Main <br /> �9kESHOa8" (952)249-4616-Fax Approved By: <br /> Amount$: . 57, A.5 <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 /> N 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 /> Site Address: PS0 w\, .\0‘,0 Lv1 <br /> Owner: ' -e A- \Lb e-4-42 0 5 Mailing Address: <br /> City: C> Y-o v\v Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: nI ctv\c-k p (vcm(<3',v,, l rc Contact Person: (Doulo. [le( <br /> Address: 1 act R I X51-1 S�ve..e ‘- State Bond #: 3D-7 8 a ?m <br /> City: y o „_)°4 Avn-erI c Zip: 5S cr 7 Expiration Date: /7/p-?/- <br /> Phone: ( ( - 5 (0 - l i -1 a Alternate Phone: <br /> ❑ Insurance - Current: <br /> Page 1 <br />