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, <br /> V3-0 q LQ o <br /> �O4 City of Orono FOR CITY)JJ Nle j� <br /> 0 P.O. Box 66 Date Received:h `� � <br /> 2750 Kelley Parkway Permit# o�U/�'+ �1L/ 7 7�J <br /> .r. 4 Crystal Bay, MN 55323 <br /> ��e �a` (952)249-4600-Main Approved By: <br /> kESHO�' (952)249-4616-Fax pp <br /> Amount$: 631 Irr--) <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: ❑AVB El 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: 45-75 W/Ivern PI aril <br /> Owner: 1<t)(1...9LLCLn 0 Mailing Address: 15 WD)Vcj-brl. PI&cfJ <br /> City: 0 n h p zip: 553 5q <br /> Home Phone: LP 12- qqq-541 g Alternate Phone: <br /> Contractor Information: /� <br /> Contractor: It 1 Y M G(�l� t U ..I Contact Person: Ca.r cc a. 6 ,-ors,c <br /> Address:hU4II ptot,i tJ Si- Kw State Bond #: PCL 14565S <br /> City: a1'j'1 Lake) ,---/Zip: 5530`-) Expiration Date: 020/) g <br /> Phone: 7(a 3 ' 14314 ' -1 tri Alternate Phone: 7/3 .1/4 t "3 7 fp g <br /> El Insurance — Current: <br /> Page 1 <br />