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e <br /> � FOR CITY USE pNLY <br /> ,��„(�A'_ �tty O�Q'CO3t0 <br /> �t{ P.O.Bo�66 <br /> o Date Received: Pennit# <br /> 2750 Kel ley Parkway <br /> `: �+}' �: Ci�-stal Ba_y.MN 55323 <br /> ';�s` �tio` (952)2�9-4600–Main APProved By: Amount$: <br /> xxxo:=" (9�'_)?49-�1616–Fax <br /> ���� �'� �'�'��T� — ���1���� �'������ <br /> (All Commercial Permits I�a�st be Approvec� by tE�e�tate Prior to City Approval) <br /> ,. /Jt�'er<:.:'i�.C:t.�t?V�L�`.ki/i���';�?. E3�Eef::Ei7��ni5'Gt':i�S �;f.. <br /> GENERAL INFORMATION � �.. �€ <br /> 1. You ma}�ap}�ly for plumbing pennits by mail or in person at the City offices. Applications will be <br /> revie��ed and a permit wi]]be issued within two working days. <br /> 2. Pe�7nit cards will be sent by return mail after a review is completed. PERMTTS ARE NOT <br /> VAL1D IINTIL YOU RECEIVE A PERMIT. �'Q�R�14�JS"F RrC3�����1 L�Tl°d'�'IIF.,Tt�� <br /> �°ERNftT C,4.R1D�S��S"�'�II�Q�i"F'F1�.F�B SYT'E. <br /> 3. Plumbing pern�its may be issued ONLY to]icensed plumbing contractors and to property owners <br /> ,-esid;ng ir t;;e dwell;ng. <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 wa�k must be inspected and air tested before it is covered. Call(952)249-4600. <br /> (24-48 hour nor�ce reqr�irec3) <br /> TYPE OF PERMIT <br /> Check All That A ly) <br /> �Residential ❑ Commercial(Approval Required) <br /> ���e1'° ❑Additional <br /> ❑Repairs � Replace <br /> ❑ In Accessory Structure? ' <br /> *You will need prior anbrovai and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/0��-ner lnformation: <br /> Site Address: -����-�I��� �� �- .� � ' (�y b� <br /> '� /� � <br /> Owner: V" l () �, Mailing Address: <br /> City: Zip: cJ <br /> . Home Phone: - � 05 Alternate Phone: <br /> Contractor Information: <br /> � ` � ��is <br /> Contractor: ��¢ t Person: <br /> Address: � 'Sta Bond#: <br /> City: Zip:�IL�fipiration Date: <br /> Phone: �� � Alternate Phone: <br /> ❑ Insurance-Current: <br /> 1 <br /> `�f�"l-J <br />