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� <br /> � � <br /> 4 ' <br /> �.�,��� �ity of Orono FOR CITY USE ONLY <br /> P.O.Box 66 Date Received: Pennit# <br /> �750 Kelley Parkway <br /> '' ` '� � Ci�-stal Bay,NfN 55323 <br /> ' ' � Approved By: Amount$: <br /> t�kesxo�wU (952)2=}9-4600—Main <br /> <,,.._- ,.. (9��)?49-4616—Fax <br /> �I Y II �� ���1�� — ��lJ1tlHE3IlV ls F�.��Y� <br /> (AI I Commercial Permits IO�ust be Ap�roved by the St�te Prior to City Approval) <br /> `,:: ,��<t����.��€.s��.��w/�;�;'L�I�a��J���, � l�E����t����•e������.�e��`' <br /> GBNERAL 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 wil]be sent by return mail after a review is completed. PERMTTS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGiN UNTIL THE <br /> PERl1'E{T C.4R�dS POSTE�ON THE JOB SITE. <br /> 3. Plumbin�permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residi!�g in tl;e dwe;li»g. <br /> 4. Wlien 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 ��-ork 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 ly) <br /> �Residential ❑Commercial(Approval Required) <br /> r � <br /> ❑ New ❑ Additional <br /> ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You H�ill need prior anDroval and may need CL'P.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: � �-�� C(��l l n� f\� <br /> Owner:r�'A�(l�S ��(,vG,` MailingAddress: SC�+�r��2 <br /> c�ry: _ (��vl U z�p: S S�GI 1 <br /> Home Pl�one: E�� Alternate Phone: <br /> Contractor Information: <br /> Contractor: Champion Plumbina Contact Person: ���(\ <br /> Address: 651-365-1340 State Bond#: <br /> Eagan, MN 55123 1 <br /> City: Zip: Expiration Date: ��,� � � � <br /> Phone: Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br /> � <br />