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FOR CITY USE ONLY <br /> �/��'y'``�` City of Orono <br /> /�r¢O� �;, P.O.E3ox 66 Date Received: Permit# <br /> ��r��;,, ���� 2750 Kelley Parkway <br /> �� �j"�t ��� Crystal Qay,MN 55323 Approved E3y: Amount$: <br /> � 31r� ,t�o`,� (952)249-4600—Main <br /> ���'�� ��� (952)249-4616—Fax <br /> _.,:._, --_ <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt�://www.dli.mn.rov/CCLU/PDF/ c lumb lanrcv� .�d1' <br /> GENERAL INFORMATION <br /> L 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 <br /> VALID UNTIL YOU RECENE 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 construction 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. <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 <br /> Check All That A I <br /> �Residential ❑Commercial(Approval Required) <br /> ❑ New ❑ Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need urior auaroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: � �J � � ���/" �+ :� � ` <br /> ' ��-- �-� <br /> Owner: P�I�''"� ->r,V%L� f Mailing Address: �`.�(.5 ��/ t�; -�1�:�� <br /> �. <br /> City: ��f�Y`� '1 Zip: J �3� ( <br /> �< -, � �� � � �� � <br /> Home Phone: /-��~ -�� �� "� �� "T Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��� ��� �'��I `rl l� Contact Person: �i�nv�n c�t �<� �'YI,�iCN�J <br /> Address: I��SU B I�1QS�"uolyZ����; Q�w"'�'1 State Bond #: PC 6yL� I l� <br /> � <br /> City: �`� ����� Zip:5�����=� Expiration Date: �� 3 � ��� J <br /> � <br /> Phone: �5��I7 � �J�� � Alternate Phone: ���- ��� ����� <br /> ❑ Insurance—Current: �C'_� <br /> 1 <br />