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, FQ CI Y USE ONLY <br /> � City of Orono �� <br /> � �- �O P.O.Boxbb DateReceive : Permit#p�D1,�-� `� <br /> 27�0 Kelley Parkway ` <br /> Crystal Bay,MN 55323 Approved By: Amount$: O � ✓ <br /> (952)249-4600—Main <br /> y � (952)249-4616—Fax <br /> �' �` CITY OF ORONO —PLUMBING PERMIT <br /> ��KESNo��' (All Commercial Permits Must be Approved by the State Prior to Gity Approval) <br /> htt ://wvv��.dli.m��. ov/CC:LD/PDF/�e �lumb� lanreva� . tlf <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 maii 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 ar remodeling is involved, a separate building permit must be <br /> obtained. <br /> 5. All wark must be done in accordance with State Code requirements. <br /> 6. All wark 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 Apply) <br /> �.Residential ❑ Commercial (Approval Required) <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: � � � S �f"-�'�� K—� � <br /> Owner: ���L 1�l �-��'-�-� Mailing Address: �� �" � <br /> City: W 1�� ��� Zip: �3 Z� <br /> Home Phone: � S � " ��� � �S ��I Alternate Phone: (�I.Z ' Z�U '�'"S �S! <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State Bond #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />