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• <br /> r <br /> / O \� City of Orono FOR CITY USE ONLY C Cf <br /> / O P.O. Box 66 Date Received: AL;) (( �� <br /> 2750 Kelley Parkway ff <br /> \s Crystal Bay, MN 55323 Permit# 1 '� <br /> \�^t� �C (952)249 4600—Main Approved By: .i� <br /> \krsr,oi (952)249-4616—Fax <br /> Amount$: FT ' ._I-) <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> Residential ❑ Commercial (Approval Required) [Backflow Device: El AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs 4 Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site /Owner Information: <br /> SCJ 5 ) 1/6r n 94 <br /> Site Address: J l <br /> Owner:6 9 t 11 eck( r: CAlailing Address: <br /> City:Of O f O Zip:&-63597 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor:C(`�' U , i P2u-+"1�bi Cgqntact Person: ‘$ ' "" e� 71 1 U <br /> 4 <br /> Address: (a�e:� -74(6O -13 We-51:-We-51:- (4)6 ` /�State Bond #: PC (� "( f ? 3 <br /> City: L c i-1 ' L (x.(1.-c, Midi f Zip` " 35 Expiration Date: i?/31/(& <br /> Phone: 'J"r? - T '73 ` . ?--93 Alternate Phone: <br /> %r Insurance - Current: ) <br /> Page 1 <br />