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O1/28/2014 12:57 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> . ' ��, FOR CTTY USE ONLY <br /> ry p� City oT Orona <br /> %O�' Q P.O.Box 66 Date Rceeived: Permit tt <br /> ( ,;;,�., � 2750 Kelley Parkway <br /> +'1 i�"��z n• _ Crystal Bay,MN 55323 Approved Ay: Amount$: <br /> ,� ��:��-� �' <br /> �� �,w��o/ (952)249-4600 <br /> �L� <br /> CITY OF ORQNO—PLUMBING PERMIT <br /> (Ali Commercial permits must be approved 6y the Building Officia!or Inspecror) <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 retum mail afrer a review is completed. PERMITS ARE NOT <br /> VALiD LJNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTF,D ON THE JOB SITE <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contraetors 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 /> TYPB OF PERMIT <br /> Check All That A I <br /> �Residential ❑Commercial(Approval Required} <br /> ❑New ❑Additional ❑Repairs �Replace <br /> 7� <br /> ❑ In Accessory Structure? <br /> xYou will need rlor e roval and may need CUP,(Per Orono Ciry Code, Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: I a b I {��o,,r S�' <br /> Owner: �i�Yti C"r,�n�C L•.p Mailing Address: <br /> c►ri� z�p: 55 3 ai3 <br /> Home Phone: _ 95 a--`i 7 S - J I 7 a Aiternate Phone: <br /> Contractor Information; <br /> Contractor: Contact Person: <br /> CULLIGAN WATER CONt�IT10PV1�}G <br /> Addre6�130 CU[ �(�A + y}�p�� State Bond #: <br /> N11Nl��TUNKA, MN 55345 <br /> . City: (952 933-720�(D Zip: F,xpiration Date; <br /> Phone: Alternate Phone: �Sa- 91�,- '31� <br /> ❑ Insurance—Current: <br /> 1 <br />