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___, 04/19/2016 10:�1 FA� 95293�5049 CULLIGAN �NTKA �005 <br /> FOR Cl'�'X CJSE ONL`Y <br /> � City of Orqno (� <z � <br /> O�` '�Q P.O.Sox 66 Aate Rsceived� ✓{ 1 l Permi�# �2���` ✓� <br /> a,?�t�„ 275o Kefley Parkway � . � <br /> `��Z�`',�''� � Crystal Bay,MN SS323 Approved By: Amount S:�� <br /> ,��a/ (952)244�600 , <br /> ��� <br /> C�TY OF ORONO-p�UN��G PERNIIT <br /> (.411 Commercial pemtilS must be approved hy th�Bu ilding 01Ticixl or Inspec[ar) <br /> GENERAL IN�'ORMAT'ION <br /> 1. Yov may apply for plumbing permits by mail or in person at the City of#ices. Applications will be <br /> revicwed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completcd. PER'vlITS A,RE NbT <br /> VALTb UNTII.,YOU�CEIYE A PERMIT_ W�RK MUST tiOT BEGI?V L''v'TIL�'X�� <br /> P�RM1"�'CARD IS pOST�p QN TFIE JOB SIT�. <br /> 3. Plumbing permits may be issucd ON'LY To liCensed plumbing contractors and to p[operiy owners <br /> residing in the dweiling_ <br /> 4. When any new construction or rernodefing is involved,a separate buiiding permit must be <br /> obt�incd. <br /> 5. All work must be done in accordancc with State Code requirements. <br /> 6. f111 work must be inspected and air tested beforc it is covered, Call(952)249-460D. <br /> (Z4-48 hour notiCe required) <br /> TYl��OF PERMIT <br /> Checic All'r'hat,A, I <br /> �Rcsidential ❑CommeTcial(Appcoval Requircd) <br /> ��Iew �Additional ❑Repairs ❑}teplace <br /> ❑ In Accessory Structure? ; <br /> *You will necd rior a roval�rld may need CIJP.(Per Orono City Code,Chapter 78,Article IV) I <br /> Job Site/O�vner Znformation: <br /> Site Address: � <br /> Orwner: ��G'u � 1( Mailiz►o Address: ' <br /> City: Zip: : <br /> � <br /> XCame Phone: lti� -'�]��j"�p�,���,,� Alternate Phane: <br /> Contractor Information: <br /> ��'���t��� iV i N G Contact Person: <br /> 6�30 CIJLL.��AfJ 1�,qY ; <br /> Addres��N��- , StatE $ond#: <br /> Y <br /> (�52) 933-7200 ° <br /> C�rY� Zip: E�piration Date: i <br /> Phone: Altemate Phone: �5 a`q '���31� ' <br /> � Insurance-Curr�nt: � <br /> 1 <br />