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05/06/2010 12:10 FAX 9529335049 CULLIGAN MNTKA C�002
<br /> FOR,CITY USE ONLY
<br /> A, City of Orono '
<br /> �''�`�� P.O.Box 66 ' Date Received: . Permit#
<br /> ��'r �� 2750 Kelley Parkway
<br /> �''�`"'r A�roved B � Amount$:
<br /> �r ����+����, F Crystal Hay,MN 55323 PP. Y�
<br /> ����' (952)249-4600 ' �
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<br /> CITY OF ORONO—PLUMBING PERMIT
<br /> (All Commercial permiu must be approvod by the Building Official or Inspector)
<br /> GENERt�L-INFORIVIATION �: � ' ;` ;.'°'::
<br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
<br /> reviewed and a pertnit will be issued within two working days.
<br /> 2. Permit cards will be se��t by return mail after a review is completed. PERMITS ARE NOT
<br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT�BEGIN UNTIL THE
<br /> PERNIIT 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 sepazate 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)249-46Q0.
<br /> (24-48 hour notice required)
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<br /> �Residential ❑ Commercial(Approval Required) �
<br /> r ❑New ❑Additional ❑Repairs + �J Replace
<br /> i �
<br /> ❑ In Accessory Structure?
<br /> *You will need prior aaaroval and may need'CUP.(Per Orono City Code,Chapter 78,Article N)
<br /> `:;�ob';�i#e�L'.Qwner: ri��o��i,�tiior�:::';,;';';':,;;r,;-;t,_�:;`;�;;"::;�;>';;�A�:
<br /> �: -
<br /> SiteAddress: ..3��0 0+ S ►�� �D4c�(
<br /> Owner: � ��2P�e►r1S Mailing Address:
<br /> City: Zip: Jr5.3 � �
<br /> Hoine Phone: �5 a•4 0 y ' O�07 Alternate Phone:
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<br /> �:Go�tracto''r.?;Tnfor�nat�ori:::'
<br /> on: �`��
<br /> Contractor: C�ntact Pers °�
<br /> c:uL�.����v �v�r�r� coNo�r�o�viNa
<br /> Adc�O CULLIGAN �.k State Bond#:
<br /> MINNETONKA, MN 55345 �
<br /> �. City: (9a2) 933-720Q Zip: Expiration Date:
<br /> Phone, Alternate Phone: ; 95a�Q�� -'73 I�
<br /> ❑ Insurance—Curre�it:
<br /> , 1
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