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Iliticrosottt Word - Plumbing Permit - Updated 07-28-11.doc -... http://www.ci.orono.mn.us/vertical/Sites/{CBFC8FAF-C313... <br /> FOR CI'IY USE O�LI' <br /> Cit�•of Orono <br /> ��^IO�,\ P O Box 66 Date Recet�'ed: Pemut e ao�3- ��� <br /> ` ?7>0 Kelley Pukway <br /> ' � Cn�stal Ba}�.NIN»3?3 Appro�'ed B}• Ainotmt 5:,:� <br /> (9�')3�39--4600-Main <br /> �� � � �� (95?)�49-�616 Faac <br /> �', ,�(� `� CITY OF ORO�O-PLL"'�ZBIVG PERtiiIT <br /> �'��'�!+t{�'�li (All Coimnercial Pe�Yuits Must be Appro�•ed b�•the State Prior to City Approval) <br /> �� t�tt�:!/�����«�.dli.tnu.Qo�i�t'C'LD/PDFi'�e �lumb I,�nre���i �. �df <br /> GENERAL INFORMATION <br /> 1. You may apply for pliunbing perniits by mail or in person at the City offices. Applications��•ill be <br /> re��iew�ed and a pennit��-i11 be issued v�-ithin h��o H�orkuie days. <br /> 2. Pemiit cards«-i11 be sent by rehuz�uiail after a re�-iet�-is coinpleted. PERMITS ARE NOT <br /> VALID LTITIL YOL'RECEI`'E A PERhIIT. WORK VIL"SI'1�OT BEGI�U?�TIL THE <br /> PERMIT CARD IS POSTED O\THE JOB SITE. <br /> 3. Pltunbing permits may be issued ONLY to licensed plumbing contractors and to property o�-ners <br /> residing in the dw-elling. <br /> 4. VVhen any new constniction or remodeling is in��ol�-ed.a separate build'uig pemiit mtist be <br /> obtauied. <br /> S. All work nmst be done ui accordance witl�State Code requuements. <br /> 6. All v�rork must Ue uispected and air tested before it is co�•ered. Call(952)?49-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT l <br /> � _ (Clieck All That Apply) � <br /> �Residential ❑Comntercial(Appro��al Reqiiired) <br /> ❑I�ew ❑Additiotial �Repan•s ❑Replace <br /> ❑ In Accessory Stnicture? <br /> *You will ueed���or auaro��Al and may need CUP.(Per Orono City Code.Chapter 78,Article IV) <br /> Job Site /Owner Infonnation: <br /> � <br /> Site Adciress: 2 ^11 ��tiSG,� }�ti►vh-�- �.pCLG� <br /> O��ier: I�G� �:✓Si���-- Mailiiig Address: Z��I 3 Cc;SC� ���t.._�-� <br /> c�ry: �Y'� n.t� z��: 5S 3�i 1 <br /> Home Phone: 4o1�--a-�l�' Z bS�� Alternate Pl�one: <br /> Contractor Infonnation: ] <br /> C'outractor:-��;�,�Le�-� ������i�tact Person: L���D�/��� <br /> � <br /> Address: �-�v S LLj.l%1G� l 1,�!v State Bocid#: 'PG�4 C✓���I <br /> City: �O w�-P� ZipS��' Expiration Date: ��I�j i`(�j <br /> Phone: ���2'�'1�- ��2�t� Alternate Pl�one: ��,Z- ZC�D-R�--I�- <br /> ❑ Insurance-CiuY�ent: � � <br /> 1 <br /> 1 of 3 4/15/2013 9:06 AM <br />