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10/17/2011 13:18 FAX 9529335049 CULLIGAN MNTKA 1�002 <br /> �` FO Ci Y USE ONLY <br /> ,�" l�` City of Orono / �s�� <br /> �/�p`r P,O,Box 66 Date Receive� � Pcrmit�1 ��l'' �` �l-� <br /> ;(�:ii;;, � 1 2750 Kelley Parkway n� j� <br /> 11.+ n$'1�,�;:'_ Crys[al eay,MN 55323 Approved By; Amount S: '_�(h v U <br /> ���; �.c� (952)249-4600 <br /> � '���' i <br /> ��::�...• <br /> CITY OF ORONO—PLUMBTNG PERMIT <br /> (All Commercial permits must be approved by the Building O�cial or lnspector) <br /> GENERAL TNFORMATION <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 twa 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 UNT1L THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <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 inspectad and air tested before it is covered. Call(952)249-4600. <br /> (24-48 6our notice required) <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �Itesidential ❑Commerciai(Approval Required) <br /> �New ❑Additional ❑Repairs ❑Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V) <br /> Job Site/Owner Information: <br /> SiteAddress: `�I53 �o���.a-✓ �r+V� <br /> Owner; ��!� �45��^�� Mailing Address: <br /> c��y: z��: 55 3 5 b <br /> Home Phone: 95a•�110 - `�51q Alternate Phone: <br /> Contractor Information; <br /> CUL�9���jqT Contact Person: �.t)i. <br /> 6030 CULLIGAN WAY �G <br /> '`��TON State Bond#: <br /> (952) 933-720p <br /> City; Zip: Expiration Date: <br /> Phone: Alternate Phone: �1 S a - `I��- �3 I 1 <br /> ❑ Insurance—Current: <br /> 1 <br />