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08/11/2015 14:18 FA� 9529�35049 CULLIGAN MNTKA C�002 <br /> � � <br /> ' FOR CITY USE ONLY <br /> d�'�� City of Orono <br /> //0�' ��a� P.O.Box 66 Datc Received: Permit# <br /> �� �„s;,r :75�Kelley Parkyvay <br /> �a "�7 � C st�l Ba MN 553:3 Approved By: Amount$' <br /> ��±�;��. o�/ (9S'.)249-4b00 , - <br /> \�,n��� 1 i <br /> ���r <br /> CYT'Y OF ORONO—PLUII�ING PERIVZZT <br /> (All Cammcrcia]permi[S muSt bC&pproved by che Building O�cia]or Inspcctor) <br /> GE?�ERAL INFORMATION <br /> 1. You may apply for plumbing pernlits by mail or in person at the City officcs. Applications wiIl'be <br /> reviewed and a permit will be issued within two working days. <br /> Z. Permit cards will be sent by return mail af�er a review is completed. PERMITS ARE NOT <br /> VALID UNT1L YOU REC�IVE A PPRMIT. �'VORK MtiST NOT SEGI]V UNTIL THE <br /> P�17MrT CAYtT]XS POS7"�n ON'T'HE JOB SITE. <br /> 3. Plumbing permits may be issucd ONLY to licensed plumbing eontractors and to properry owners <br /> residing in the dwelIing. <br /> �. When any new construction or remodelina is involved,a sepazate building permit must bc <br /> obtained. <br /> 5. AIl worlc must be done in accordance with State Code requirements. <br /> 6. AlI work must be inspected and air tested bcfara it is covcrcd. Csll(95Z)249�600. <br /> (24-48 hour notSce re�uired) <br /> T�S'PE OF PERMIT <br /> Check All That A 1 <br /> �Re5identia] ❑Commercial(Approval Required} <br /> ❑NeW ❑Addi�ional ❑Repairs �Replace <br /> ❑ In Accessory Shvcture? � <br /> *You will need nr�or ap»ro'va�atld may need S'"Up.(Per Orono City Code,Chapter 78,Article IV) <br /> J'ob Site/Ovvncr Inforn�atian: <br /> SiteAddress: c�a�5 Q�',� �-,Gr�o� �tiay , <br /> � <br /> Owner: t'�o��,r� l��r+..�c� Mailing Address: <br /> City: Zip: <br /> I-Iome Ahone: �i5 a- ��LI C- I ?�� Alt�rnate Phona: <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> �U���:vV�T�#� �f�I�i�'�+��� State Bottd #: <br /> �03G CU� iGAPV 1+VA`� <br /> �N��ONK,4, MN 5`���zip: Expiral;ion Date: <br /> . (952) - p <br /> �hone: AIternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />