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Nov 27 1�09:41 a Water poctors 7635351805 p.1 <br /> �� . <br /> ,�,� �". <br /> FOR CITY USE ONLY i <br /> ��� City of�r000 �L � �I c � D <br /> � P_O.Eos 56 �� Date Received: �� �5 Permit� �/J <br /> / 2750 Kcll�y Parkxay � � � <br /> f `i Cn�stal Bxy,��55323 i Approved By: �� Amount$: f� �� <br /> � (952)249-�1600-:Nsin _� <br /> I,f � i/ (952)249-4616—Fax <br /> � � CITY OF 0�20I�10—PLLII�IBING PERMIT <br /> y���'�f.s�+0�`� (.411 Commercial Per:nits 11ust be Approved by the State Pricr to City ApprO��al} <br /> htt :/iww�►.dli.mn. oviCCLDIPDF/ e lumb fanreva . df <br /> G�N�RAL INFORIVIATION <br /> 1, You ma}� apply for plumbing pennits by mai!or in person at the Cicr o`f ces. Applicatious will be <br /> revie���ed aiid a permit will be issued within two wurking days. <br /> 2. Permit cards will be sent by a•eturn mail after a review is completed. PERIvIITS ARE NOT <br /> VALID UNTIL YQU RECEIVE A?ER'�IIT, bYORK MUST tiOT BECIN UNT1L THE <br /> PEKMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Y;umbing permits may be:ssued ONLY to Iicensed plumbing contractors and fo property owners <br /> residing in the dwclling. <br /> 4. �Vhen any new•construction or remodeling is invo(ved,a separata bui[ding pennit must be <br /> obtained. <br /> �. all work must be done in accordance�+�it:�State Code rec�uirements. <br /> 6. All work must be inspected and air tested before it is covered. Call(952}2d9-4600. <br /> (2a-481�our notice required) <br /> TY�E OF PERMIT � <br /> (Check All That Apply) j <br /> fl Residentiat ❑Commercial(Approval Required} <br /> � herr ❑Additional ❑ Repairs ❑ Replace <br /> ❑ [n Accessor} Structure° <br /> *You will need prior approval and r.�ay neec CUP.(Per Orono City Cod�,Chapter?8,�.r[icle[Vl <br /> Job Site/�cvner Information: <br /> Site Address: �`!S� �'� b���sfo r�L �-���;� <br /> O�vner: t,Uc,r��dcz jc �v.jr.�r�ys Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Tnformation: i <br /> Cont��actor: (�%��,-� ���c��= Contact Person: i�-�i� �r�� ��'' <br /> Address: �'�J/ 1�G_�� State Bond #_ fiv�� ��S`t�.�C <br /> City: S%� ' ��,c�Zip:��-y,si Expiration Date: <br /> Phone: �l�3--5'�s=t�s.�C� Alt�rnate Phone: ?1�.�.��'�-75�� <br /> ❑ Insurance—Current: <br /> 1 <br />