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FROM:T0:9522494616 01/20/2016 00:48:16 #24338 P.001/002 <br /> �AX t� <br /> � — Ctty of OronQ FOR CITY US�ONLY <br /> J' Q P.O.Box 66 �ate Received:„ � -- 1 q — (l� <br /> ��� ` 2750 KeUey Parkway <br /> - � Crysta!8ay, MN 55323 Permit# ZG 1 l� - �,���. <br /> '�'� c>/ (952)249-4600 mm Main <br /> ' `',,,,,,,�� ' (962)249•46�6—Fax ApProved By:�....�.., .� <br /> ,, Amount$: �-� => Z �� <br /> CITY p�' ORONO— PLUMBiNG PERMIT <br /> (Alf Commercial Permits Must be Approved by the State�ripr to City Approval) <br /> httn:llwww.dli.mn.pov/CCL0/PDF/oe plumb�lanrevanp pdf <br /> � GENERAL. INFORMATION ., �������� . -. . "n at the C...��.� <br /> 1. You ma a E for lumbin -.� µ�.Vµ y p �" ity oFfices. Appfi. �on� <br /> y pp y p g permlts b maii or in erso �� cai' w�ll be <br /> reviewed and a perrnit wdl be �ssued w�th�n iwo work�ng days, <br /> 2, Permit cards will be sent by return mail after a r�view is camplsked, PERMlTS ARE N�7 VALID <br /> UNTIL YOU REC�IVE A P�RMIT. WORiC A�(�$"�NOT BEGIN UNTIL 7H� PERMIT CARD IS <br /> POSTE N TWE JOB SITE. " <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractars and to prop�rty owners <br /> residing in tha dwelling. <br /> 4, When any new construction or remade}ing is involved, a separate building permit must be obtained, <br /> 5. AH work must be done in accordance with State Code requirements, <br /> fi. AU work must be inspected and air test�d before it is covered. Call (952)249-4600, <br /> (2411$ hour notice required) <br /> ..._,.,_ .,..... ..._.T_ �.._._ <br /> TYP� OF PERMIT(Check All That Apply) <br /> [�Residential � Commercial (Approvai Required) � �� <br /> ❑ New ❑Additional �epairs [j Replace <br /> ❑ In Accessory Structure? <br /> �You will need nriQr ap,proval and may need CUP. (Per Orono City Code, Chapter 78, Articie IV) <br /> L. -�...� <br /> �ob Site/ C�wner lnformation: <br /> ___ .�.,�_. <br /> Site Address: ��7 C �� I�t70� �JL � <br /> Owner:_ ��C.o'l"r �rrJ .� Mailing Address: .. �� �� ��,n���,ftx��� <br /> City: �IV���hc� ��Zip: � 3Gu <br /> Home Phone; Alternate Phone: <br /> _..., _..... ...��. <br /> Contracfior Information: <br /> .,. ,,,..�. __ _.__ Y..,,,.,....� <br /> Contractor; s���-��- Contact Perspn: ���- 1v°�✓l�r`= <br /> Address: �(a�l !,c). t� �c. ,,��State Bond#: � �/U �� <br /> .,. , <br /> Cit �i • c��S �� Zip: ��y� � Expiration Date: <br /> Y� --- �.- � <br /> Phone: G!� � S� 7��g „_�,Alternate �hone: <br /> �nsurance—Current: �„ ���a� ���L��� <br /> Paga 1 <br />