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77O7\ City of Orono FOR CITY USE ONLY <br /> P.O. Box 66 Date Received: <br /> Kelley Parkway <br /> Ij <br /> ,. Cry275stal Bay,MN 55323 i Permit# 020/7- O/(p se-/ <br /> \_ (9 52)249-4600—Main 0.Approved By: <br /> -tki HOC''' (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.dii.mn.gov/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 /> f _ TYPE OF PERMIT(Check All That Apply) <br /> ❑ Residential commercial (Approval Required) [Backtlow Device:D 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: 2 3 8'4) 14c c/y cf /ed. <br /> Owner: /?-1,74) GIS Mailing Address: <br /> City: 0/v v Zip: 5-512 3 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor. RA-a50 1 Contact Person: Va�� <br /> Address: 372 8 gcM.'rijState Bond #: m5oD335-2- <br /> City: <br /> - -City: ge_c),-c/v,' Zip: 5(G p/ Expiration Date: 034.,(S- <br /> Phone: ?i'S- 75/- 93.0 Z- Alternate Phone: g5--Z- 25$3 — c/S 30 <br /> ❑ Insurance -Current: 4/f/2c) (41- <br /> Page <br /> 2Page 1 <br />