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09/02/2015 14:�0 F�T 9529a35049 CULLIGAN MNTKA �002 <br /> � , <br /> � FOR CIT'Y CJSE ON�,Y <br /> �p'�, City of Or000 ' �a �J��(C (j�/ <br /> ' �O¢ �Q` P.O.Box 66 Dn:e Received:��Permit# v � <br /> r �,�,�,., 2750 Kelley Parkway � j d c� <br /> � ��t�� �� Cryst3l Bay,M�i 5�3:3 App:ovcd 13y: Amoun�$:� <br /> N , ���',.���� (952)249-4640 <br /> �,. � , <br /> �,:,� <br /> CTT'Y OF ORONO—��tiMBING PERIVXYT <br /> (All Commeroinl permi[s must be approvcd by[hc Buildirtg Official or fnspecror) <br /> GErrEx��rr�a�arroN <br /> 1. You may apply for plumbing pelmit5 by mai] or in person at the City offices. Appllcations will be <br /> revi�wed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail a$et'a review is completed. PERMTTS ARE NOT <br /> VALID UNT1L'YOU RECEIVE A P�RMIT, VVpRK MUST TOT BEGXN CJNTIL THE <br /> PERII'�X'�CA�tb�S POS7ED ON TFIE d0�5XT�. <br /> 3. plumbing permits may be issued ONLl'to licensed plumbing eonEractors and to property owner5 <br /> residing in thC dwelling. <br /> 4. When any new constructioo or remodeling is involved,a separate bvilding permit must be <br /> obtained, <br /> 5. All work must be done in accordance with Statc Code requiremenu. <br /> 6. A11 work must be inspected and air tcstcd before it is covered. Call(952)249-4600. <br /> (Z4-4$hour notice required) <br /> 1"Yl'E OF PERMIT <br /> Check All That A 1 <br /> �Residential ❑Commercial(Approval Required) <br /> �New ❑Adtlilional ❑Repairs ❑Replacc <br /> ❑ In Accessory Struchtre? <br /> '�You will need rior a roWal and may need CUP.(Pcr Orono Clry Code, �hapter 78,Articic IV) <br /> 3ob Site/Owner rnformation: <br /> Site Address: a��$� ��S�d� �'� `^' <br /> Ov�nler: 1�. �'S 0 h Mailing Address: <br /> City: Zip� SS 3 S (e <br /> Home Phone: ��� � �`� ��K �6�� AIternate Phone: <br /> Contractor Znformation; <br /> Contractor: Contact person: <br /> ����dGa� w�r�R C�N�ITipN_►�a State Bond #: <br /> ��0 CU� WAY <br /> MSNf��TQNKA, MN 5534�,ip: Expiration Date� <br /> C�ty: (952} <br /> Phone: Alternate Phone: 45� - �I�- y3 f 7 <br /> ❑ Insuranc�—Curre�.t: <br /> I <br />