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City of Orono FOR CI USE ONLY <br /> O PA.Box 66 Date Received: i/-D 3 1 7 <br /> 2750 Kelley Parkway <br /> \I .r Crystal Bay,MN 55323 Permit# � y/ / - Q/*37 <br /> ` (952)249-4600-Main <br /> "is «�•�-<' (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.aov/CCLD/PDF/pe Plum bplanrevapp odf <br /> GENERAL INFORMATION — 1 <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:❑AVIt ❑ PVBI <br /> VNew ❑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: _570t7 UJ I LLDte—, S <br /> Owner:_ 13"!j-Aim Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 4c:Sl:�K+J I r4 Wn wwil6tnl(. Contact Person: 4<" <br /> Address: 7 705- State Bond <br /> City: Zip: G Expiration Date: " <br /> Phone: _ 3^ yo ` � � Alternate Phone: 64A_V : 3.2o - (�'2 y'22 <br /> n Insurance - Current: «A+e LL t v t,/.,t•'.;C,,,t'4-L <br /> Pago 1 <br />