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rr���� City of t7rono � ��� ��F�t��C�;�US�o�J(��( ' !, <br /> �� P.o. sox ss [3ate R�ceiu�d. . �'` � , ;�14 �.'� <br /> t � 2750 Kelley Parkway .; � � �, ' t' � ,_ <br /> ��� CrystEtf Bay, MN 55323 F'ef'm�Y# > � -��� � �� ����s � , ��,�� <br /> � : <br /> �'rt o`� 952 249-4600—Main � , f� � ` ,+ ' j"` '" : <br /> ( ) I Ap�itav�B�. � , <br /> � (9�2)249-4616—Fax <br /> �'r sHPQO;� r , , ,.�. <br /> � ArnaunC�� :, w -. �- ,. <br /> C1TY aF ORONO— PLUM�ING PERMIT <br /> (All Commercial Permits Must be App�'oved by the State Prior to City Approval) <br /> htt :llvuww.dli.mn. ovlCCLD/PDF/ e lumb lanreva . df <br /> �����,�����'z���;�`Tlo�u _���, 4 , , <br /> , , �„� � ��� l�;1:,�',�i i . � �: ' � .+„�.� ��'�� e I' � r � �'' <br /> 1. You may apply for plumbing permits by mail or in pers�n at the Ciry affices. Applicativns will be <br /> reviewed and a permit will be issued within two warking days. <br /> 2_ Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VAL.ID <br /> UNTIL,YQU RECEIVE A PERMiT. WORK MUST NOT BEGIN UN71L TWE P�RM(T CARD IS <br /> POS7�D ON THE JOB SITE. <br /> 3. Plumbing permits may be issued QNI�Y tv licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is invalved, a separa#e building permit must be obtained. <br /> 5. All work must be done in aecordance with State Gode requirements. <br /> 6. All work mu5t be inspected and air tesEed before it is covered. Call (952) 2a9-46b0. <br /> (24r48 hour notice required) <br /> � ,:� �'"�'�i'r� �� P��'[VItT�Ch,e�k A�I T�t {„p, � � ' Y ,�� <br /> � ��,. � � f?�?Y) ,' '''� ,�, <br /> �,,a �,.�.,a��,�.. ._ <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑,t1,VB [�PVB] <br /> ❑ New ❑ Additional ❑ Repairs � Replace <br /> ❑ In Accessory Structure? <br /> '�You wili need prior apprayal.and may need CUP. (Per Orono City Code, Chapter 78, A�ticle IV) <br /> I���� ��ri��� 1 N��f 1) ��`;���I L����'�� I . � <br /> � �!��� �. F�,-i , ';� <br /> - � , ,,: <br /> � ,, . , ,.W�,� <br /> Site Address: �2��J �Ckx�C Sk - <br /> Qwner: �J f1v �e_r�r.i ___Mailing Address: <br /> Cify: �s�r�c> zip� �53 1 <br /> Home Phane: a 3�j���• �►a'�°I Alternate Phone: <br /> �����tr��t��ar��������ar�� � ' <br /> ,� ,, .��� � :�.;' <br /> Contractor: ,� f, � '�Cc_h Qv�i��l �ri�. C�ntact Person: �1�.� <br /> Address: �1��+ �"� �Ve. SV�! State Bond #: ��at-el� <br /> City: 1� Zip: ���4 Expiration Date: �1 � <br /> Phone� �P�J1• 12-N• C�°1�13 Alternate Phone: <br /> [� Insurance — Current: f .� � G1,�L7 <br /> Page 7 <br />