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' �pAr City of Orono FOR CITY USE ONLY <br /> / O P.O. Box 66 Date Received: /—� —/ '7 <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# c D/ D � <br /> c' (952)249-4600—Main <br /> kFSHO 1 <br /> y� � <br /> �'' 4`` (952)249-4616—Fax Approved By: <br /> Amount$: / 54. , 0 <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 ❑ 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: 2 9O tt)O fe <br /> H;/? ti e <br /> Owner:tt 4f)((GoU4 IR/.:/4-P/ Mailing Address: <br /> City: Zip: �. 3?7 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: f?r/-tr Pkimb_)46-)_ _ Contact Person: [Zia) re? /.( <br /> Address: W57-5 --.4771/0-4)/0 State Bond #: <br /> City: tea,'4Q (�lc)/1 Zip: 38 Expiration Date: l gtle <br /> Pone:2-. ! ss O_� a Alternate Phone: <br /> ❑ Insurance — Current: <br /> PG 6e7 3.c88 <br /> Page 1 <br />