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, • � CIT USE ONLY c�� <br /> �O�O City of Orono �n <br /> P.O.Box 66 Date Receive : � Permit# eLJ���� <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By: Amount$:_,� <br /> (952)249-4600—Main <br /> (952)249-4616—Fax <br /> yF c,` CITY OF ORONO—PLUMBING PERMIT <br /> t"�KssHo�� (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) <br /> htt ://ww���.dli.►nu. ov/CCLD/PDF/�e .lumb �(anreva� . clf <br /> GENERAL 1NFORMATION <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 will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB S1TE. <br /> 3. Plumbing permits may be issued ONLY to 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 before it is covered. Call(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> ❑ Residential ❑ Commercial(Approval Required) <br /> ❑ New ❑Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono Ciry Code,Chapter 78,Article IV) <br /> Job Site / Owner Information: <br /> Site Address: "'.f_� �,l`_ , ;, ' t � ; � � , ,� e i j <br /> Owner• � �i � � � �,� '��'��--'l�-" � � Mailing Address: � � � � ��- <br /> ��. � � L � ��,� �� �. - ��._f - <br /> City: ' <br /> Zip: ` ` >=��' i <br /> Home Phone. �'t��"��`-'�-�;� . � �° � �� Alternate Phone: �� �►�- � �'=�� �► � <br /> Contractor Information: <br /> , _ <br /> Contractor: �:.-= � ��- � 1 i 1 �� L- L- ontact Person: ''���� ` �' � � ' � �� ��;� jt`�_= <br /> _i � � - - �e <br /> Address: `"'l_ `-( '� ' ;C r ;�� State Bond#: t�� '; � ; -���� <br /> � <br /> City: � �_'��'��'�1��ip:''�r` � ''='Expiration Date: i�_� ����1 � _:� <br /> Phone: ��2-' � ���- �'��`-�'`r` Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />