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RCC�,I X FOR CITY U5E ONLY <br /> O City of Orono i <br /> P.O.Box 66 i� Date Received: Permit# <br /> . � O NOV 2 �;..0�4 <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 I Approved By: Amount$: <br /> (952)249-4600�� �� r�_� <br /> � � (952)249-4616— <br /> F�R �c-� CITY O� URONO-PLUMBING PERMIT <br /> KFSHo� (Al]Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt ://wwsv.c�9i.ip�ra��=a�v/Q'��9,�)/P�?9�/�c � liaa,i�> >IAiaa-e��.ab.�a�_�3c�6� <br /> GENERAL INFORMATION <br /> I <br /> 1. You may apply for plumbing permits by il or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued withi two working days. <br /> 2. Permit cards will be sent by retum mail aft r a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PE IT. WORK 1VIUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POS'F'ED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY tol 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�efore it is covered. Call(952)249-4600. <br /> (24-48 hour notice required) I <br /> TYPE F PERMIT <br /> Check A1 That A 1 <br /> i <br /> ❑Residential ❑Commercial(Approval�Required) <br /> ❑ New ❑Additional � ❑ Repairs �Replace <br /> ❑ In Accessory Structure? I <br /> *You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Articie IV) <br /> � <br /> Job Site/Owner Information: I <br /> Site Address: ��� � �� 1' ()I�i l, L�,� �� �rUn.� <br /> � <br /> Owner:�In,Q,I� L'�S Z SI/t ��i i Mailing Address: <br /> P�e►�c ��Ja�-� <br /> c�ry: �I�l�Y�� z�p: <br /> Home Phone: � J 2 ` 7� ��JZ�,� Alternate Phone: � I 2 D' v ���� <br /> Contractor Information: <br /> Contractor: �Qq,� (dl e.��1C,�- Contact Person: SCLi�c4.A� St�.rih�,r- <br /> Address: II��T�ncmrn.� (�src��Ipb State Bond#: �l�C�`� —I"l �S <br /> City: '(`�(��tc,e�\� Zip:�Expiration Date: <br /> � <br /> Phone: rllo3- 3i�- O$-(1 I Alternate Phone: �1�3- a.GS—C7b�`� �..�X� <br /> ❑ ! Insurance—Current: <br /> I <br /> ' 1 <br />