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.moo v City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: <br /> ► 2750 Kelley Parkway Permit# <br /> Crystal Bay, MN 55323 <br /> 6- (952)249-4600-Main <br /> &FSHD* (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 ❑ 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: CI°1 W‘, w (- - <br /> Owner: 1(\C \ t W u\j Mailing Address: I c-) 5 w 1L,A-1 <br /> City: O' - Zip: 55 35 ► <br /> Home Phone: Alternate Phone: Z - 7- 5/o3 <br /> Contractor Information: <br /> Contractor: rn42 04>Contact Person: r ' , � 14.3 <br /> Address: aaR3 Mc(4,/v)f k 1(2) State Bond #: <br /> City: lib u.\ 5c, f (;) Zip: ST16 7 Expiration Date: <br /> Phone: 1— 75 l Alternate Phone: <br /> ❑ Insurance - Current: vet\,' A-3 L,.,,_:,7 �I _ <br /> Page 1 <br />