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11/06/2015 11:28 FA� 9529a35049 CULLIGAN MNTKA �008 <br /> . <br /> � � <br /> { FOR CITY U5E ONLY <br /> Q CityofOrono � /� <br /> f O� ���� P.O.8ox fi6 Dnte Received:�1 (�� � `'f'6finl�#���� C����7 <br /> y�;;,�� 2750 Kcllcy Parkwny n'^ ����� J <br /> � i{'�, , �* Crystal Day,MN SS323 Appra�cd 13y: ,��'J Amount�; <br /> � „��!��` (952)249-46�0 <br /> �� t , <br /> CYT'Y OF ORONO,PLUMBY�i C T'EIZMIT <br /> (All Commercinl perrniLS mltsi be xppioved by thp Building O�cial or InspeUor) <br /> GENERAL INFORMATION <br /> 1. You may apply for p{umbing permits by mail or in pei'son at the City offices. Applications will'bc <br /> reviewed and a permit will bc issued within two working days. <br /> 2. Permit cards will bc scnt by reNm mail afrer a review is completed, PERMITS ARE NOT <br /> VALID UNTIL YOU RECETVE A PBRMiT. WORK MUST NOT BEGIN iJN'I'XX.TH� <br /> PERM�'F'CA�IS POST��Oh'Y'HE JQB SITE. <br /> 3. Plumbing permits may be issucd ONLY to licettsed plumbing contractors and to propcRy owners <br /> residing in the dwtlling. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained, <br /> 5. A11 work must be done in accordt�nce with State Code iequirements_ <br /> 6. Ali work must be inspecied�nd Air tested before it is covered. Call(952)249-4600. <br /> (24-48 hour noticc rcquired) <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �ResidentiAl ❑CoromerciaJ(Approva]Rcquircd) <br /> �New ❑Additional ❑IZepai��s ❑Keplace <br /> 0 In Aecessory 5tructure? <br /> '�You wi11 need nrior unvroval and may need CUP.(Per Orono City Code, Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: .. �a� S �t S t� �iyt� __ <br /> Owner: ���� Lees -� m�1 MailingAddress: <br /> City: Zip: �5.3� � <br /> Home Fhone: Alternate Phone: Cl Jr�— d��q g�� <br /> Contractor Information: <br /> ����1�p'a/y,kTER CONDIYIONING Contact Person: � <br /> 603Q �IJ�.LlGAfV WAY <br /> Adps��,4���Nf�A, MN �5345 State Bond #: <br /> (952) �33-7200 <br /> City: �ip: Expiration Date: <br /> Phone: Alternate �hone: �SaZ- ���•7�� � <br /> ❑ Znsurance—Current: <br /> 1 <br />