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Ili all.M. <br /> lo <br /> i ALQA, City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# <br /> F (952)249-4600-Main Approved By: <br /> 11kEsuO��c` (952)249-4616-Fax <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.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 LJ 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 / OwnerrI5 ?b <br /> Information: `/ <br /> Site Address: � (461 V {-6fIcCQ1 <br /> Owner: 11-€1 ‘4 (/CJiv Mailing Address: v[ J ? wbl1.4,! n NC& <br /> City: Ao / - go,A Zip: 6335 7 <br /> Home Phone: 60- 199-7- 51'1 't Alternate Phone: <br /> Contractor Information: <br /> 't �JSiJ - V31Contractor: tiOW <br /> '�(V � �� `I'n(/4.Wt� � Contact Person: <br /> t <br /> Address: 'NO- F (,Ue-t W o Y- 4 F 0J State Bond #: P C l9� t <br /> City: 1-0/1 tcqte., Zip: 663 Expiration Date: 0131//1" <br /> //ll <br /> Phone: a- ~ `t 73, 6 3 Alternate Phone: <br /> /nsurance — Current: Ye--S <br /> Page 1 <br />