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12/20/2011 12:57 FAX 5076472450 B&R PLBG & HTG x]001 <br /> FOR CITY USE ONLY <br /> ` �p'�` City of Orono <br /> P.O.Baas 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MAI 55323 Approved BY: Amount$: <br /> (952)249.4600-Main <br /> _ (952)249-4616-Fax <br /> CITY OF ORONO—PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> h ://Www.dii.mn- ov/CCLD/PDF/ a lumb lanreva f <br /> GBIERAL 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 atter a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS 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 constrtxtion or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5, All work must be done in accordance with State Code requirements, a <br /> 6. All work must be inspected and air tested before it is covered, Call(9.52)249-4600. <br /> (24-411 hour notice required) <br /> .... .__. <br /> TYPE OF PERMIT <br /> (Check All That.Apply) �.-----� <br /> RLSidcntial [I Commercial(Approval Required) <br /> 1�\New AdditionalI R.�,oains �l R.dn121•z <br /> Ll In Accessory Structure[ <br /> *You will need Prior approvol a.nd may need CUP.(Per Orono City Code,Chapter 78,Articic'I V) <br /> Job Site ite �n, r' a. <br /> , a., .ter`*'ii�.i iiiwiA41W�w.i. j <br /> s,«huui ess: <br /> mailing Add!'e,�S; <br /> Iin: 55.E <br /> Horne Phone: Alternate Phone; <br /> i i:o1llJ'ctCilUt'i!•ljutuiztlluil: i <br /> Cantra=r: bi- ptu(IlI&IV1,6 f/ Contact Person: <br /> -- 1 <br /> :}d&CSS: N l�'Y.t-t'n State Bond 9: 06 K70S13 <br /> f *fir• VV A' (('j ip:�q(pFvnirat.iron Haire_ 0-3VD <br /> �'- 1 <br /> r J' r r..�. <br /> Phone: �r�'�t-�� � Alternate Phone- <br /> Insurance—Current. <br /> hone-lnsurartee—(:urrcn[: W� aU AwcI <br /> 1 <br />