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`� �pN City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: '�I I� I L� <br /> 2750 Kelley Parkway Permit# n (D "��4� � <br /> Crystal Bay, MN 55323 � � <br /> yF�q �c,� (952) 249-4600—Main Approved By: iM,Y <br /> kesHo`� (952) 249-4616—Fax /Yj <br /> Amount$: �`�`� <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <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 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 VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> 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 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(Check All That Apply) <br /> �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> ',� <br /> Site Address � '�v ���4�> ��-��'� —�__ I\_ <br /> K-�� � �_ <br /> Owner: �-2 � Mailing Address: �� �� � <br /> City: �C_�V � �--J Zip: ��� z 5 � <br /> Home Phone: �-f' �,`�2 �5 J �� `l>��Alternate Phone: <br /> Contractor Information: <br /> 1��--L �,�-�r�� Z�-�-�(l���U <br /> Contractor: '� � �� � I� Contact Person: <br /> Address: ^ �—� V� State Bond #: �� � �5 � �� <br /> City: �'—c.�X�c7� � Zip: ✓ � � Expiration Date: � � � r i � <br /> Phone: �� f �� � �� ` /�_Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />