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� r FOR CITI'L'SE OnLY <br /> City of Orono <br /> �O� P.O.Box 66 Date Received: Permit# <br /> 0 � 2750 Kelley Parkway <br /> 1 Crystal Bay,MN 55323 Approved By: Amount$ <br /> � (9�2)249-4600—Main <br /> � � � (952)249-4616—Fax <br /> F �` CITY OF ORONO—PLUMBING PERMIT <br /> ��KEs�°�� (A(1 Commercial Permits Must be Approved by the State Prior to City Approval) <br /> {zt:t�:/hs����s.d�i.mn.6ov/CCLD/�DF/ne nedemb�l�tnrevao�.ndf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the Ciry 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 PEF�MIT. WORK MUST NOT BEGW liNTIL THE <br /> PERMIT C.ARD 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 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 A 1 ) <br /> �esidential ❑ Commercial(Approval Required) <br /> ❑New ❑ Additional ❑Repairs `�Replace <br /> i <br /> ❑ In Accessory Structure? <br /> *You will need nrior apnroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: �� Y;� ���'�'��� �l.�Q� �'' � <br /> ��� <br /> Owner-�1�� ,.I'"�l (%�l Mailing Address: L�'�� 1�-- <br /> City: Ir\1Vrl���1� Zip: ����C•�Y—' <br /> Home Phone: ���,��� -1����� Alternate Phone: � <br /> Contractor Information: <br /> ,. <br /> ` ' �� �� <br /> Contractor: '���N""�G�������✓1 �� Q �1�'��'��V�1�`{ Contact Person: _ <br /> J <br /> Address: -%L � � �V��C�; �`L�f State Bond#: <br /> City: ������-� Zip:����Z�'Eapiration Date: <br /> . <br /> � � t`1 <br /> Phone: �,!;�-���`�L������� �-% Alternate Phone: <br /> [� Insurance—Current: _ _ _ <br /> 1 <br /> l�� <br />