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From:7634974263 02/P3/2015 08:52 #552 P.002/004
<br /> i,NOR CIT9'USE QNLY
<br /> Ci of Orono � j (,'
<br /> P.O.Box 66 Date Rece�ved:��~�� ��'��"'�"�`' -�b
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<br /> � ��� 2750 KeOey Parkway � ; . �"°� � �
<br /> Crystal Bay,MN 55323 Approvc.�By, ����_:....�Amount$;��<� ��t�
<br /> (952)249-4600—Main � (�/��q ���7�����
<br /> y � (952)249-4616—Fax
<br /> �' c�` CITY OF ORONO—PLUMBING PERMIT
<br /> l�'FfSHd�� (All Commercial Permits Must be Approved by Y6e State Prior to City Approval)
<br /> htt :/hvww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df
<br /> v�':3�I�TERAI�II�t)RMATT�N����. � ��� ���,���� �,,_-_ �
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<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 wiil be issued within two warking days.
<br /> 2. Permit cazds will be sent by retum mail aRer a review is completed. PERMITS ARE NOT
<br /> VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTJL THE
<br /> PERNIIT 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 inspected and air tested before it is covered. Call(952)249-4600.
<br /> (24-48 hour notice required)
<br /> " "�.��"�,�-"��� �� _ 'TYPE:OF PEKMIT' =��.�-
<br /> � �����_���-._ s :� Check Ali�'�a�A "� �.
<br /> ,�Residential ❑Commercial(Approval Required)
<br /> ❑New ❑Additional ❑Repairs �Replace
<br /> ❑ In Accessory Siructure7
<br /> *You will need,prior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV)
<br /> Job;���e/Qlvner.�r►forr`nataon �_ �.���r_,,� �
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<br /> Site Address: .�'1�i 5" ����,.� ���-{���� ;��i c ,s ��, �..'N�-(--
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<br /> Owner: )�>�G�l � �Y1�,��. �'� ��,r�c�:._ � Mailing Address: ���7 `� �`t��u.��-(��� -,'��.1� ��,^. l,�/� �{=. �
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<br /> city: �.��� L���ct_ zip: L�,,,,�. ��-!c c ✓�'��' S�3 S�.
<br /> Home Phone��r�1�-��`�SC�—�,:�C''`-� Alternate Phone:
<br /> �Con�ractor"-Inforrrcation �`:- _ -
<br /> Contractar: �jd l ) 1���u��;,n�;���=c�"�r���A�CContact Person: }���1, ��.� _,�._��
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<br /> Address:L�!'�5� lY)a�c_kc �rzi� e�t� �t%f�� State Bond#: Y11 j� (�C��� 1(,,
<br /> Ciry: �-f�: d��?��c=hc,c 1 Zip 55�;:3�7�,Expiration Date: ��� �� �
<br /> Phone: ��l�>3.) i�1�-���7 � ��.�i �� Alternate Phone: ) �� ' - �a t,�-�,��us �{ l( ;
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<br /> ❑ Insurance—Current: �},��IE,�,;Yr„1,�s .,,-�y,� { _
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