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..cLpAr City of Orono FOR CITY USE ONLY �j <br /> O P.O. Box 66 Date Received: / c�/.�,`-y <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# /, / / - <br /> • ti�`q ��o` (952)249-4600—Main Approved By: /� <br /> kEsuo (952)249-4616—Fax <br /> Amount$: /V 2 , n6/ <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 /> V Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB 0 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: Il 1 uAu-1,,.el i 4�� 11Z.ILJC <br /> Owner: --r,-.- A i.et,....4.,.-. Mailing Address: 11 -7-— .4A.00,--e-7 L4L,.. l- ,-?,vc- <br /> City: 0cz Zip: Ss 3zs <br /> Home Phone: wiz- .17,5ii r- ic, Alternate Phone: <br /> Contractor Information: <br /> Contractor: �( . P I o .---`,0,.-, i-c- Contact Person: 1--- -e,NA- .\-,ki.)‘,� <br /> Address: ‘qz,c ,CcCvzr 41 sC.: State Bond #: PC 6,1-Moc7c, <br /> City: .c' (. Zip: - 3 Expiration Date: i Z-3; - I <br /> Phone: C-)17-0b7 - 5 o 4-i I Alternate Phone: <br /> ❑ Insurance — Current:' -kyzc 47 - ,;,, 6-r 2t:,6,796-s U° <br /> Page 1 <br />