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03/18/2016 FRI 18: 52 FAX 612 $22 5a08 A1' b MdAter Plumbimg �002/007 <br /> ��� , � ����a�� ... ., , <br /> ' LC'� � v �-�{� '��� <br /> � �� � <br /> � c� vs�oNLY. 7� <br /> O CityofOrono a� ��bv <br /> � �� P.O.Bax 66 DateRocc� � Pormitk"� <br /> 275�Kcncy Parkway � Z. /� <br /> Grysinl B�y,MN 55323 Approvpd By: Amvun[$: � <br /> (952)249�60�—Moin � <br /> � �. (952)249�616—Fax <br /> � cYr�r a�oRo�ro-�r��r�sz�vc����m�r <br /> ���'�k£S No��"L (All Commercial permits lvlust bc Approved by the State Prior to Ciry Approval) <br /> htt�://wws��,dli.mn. ov/CCLU/Yl)1+'/ e �hunU�1Nnrcvn . df <br /> 'G�NE�2AL II`FORMATTON <br /> 1. You may apply for plumbing permits by mail or in person at tl�e City offices. Applications will bc <br /> � reviewed aad a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail a�er a review is completed. PT�M�TS A�E NOT <br /> VALID UNTIL YOU RECEIVE A PERMtT. WORK MIJST NOT RF.GiN U7VTIL THE <br /> PER:ViIT CARD i5 POSTFD ON TiiE,TQB SITF. <br /> 3. Plumbing permits may be issued O'�`LY to licensed plwnbing contractors and co property ovmers <br /> residing in the dwelling. <br /> 4. When any�new construction or remodeling is involved,a separate building permit must be <br /> I obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> I6. AIl work must be inspected and air tested before it is covered. Call(952)249-4G00. <br /> I (24-4$hour notice requiced) <br /> ��r ��,�, � ' �''"' � '�T�'PE�OF�PERNI[`I'� � �'�� � o � <br /> ' ,,,� ; � ; Chcck AIl That A 1 <br /> �sidcnli2l Q Commcrcial(Approval Rcquircd) <br /> Q New Q Additiona] ❑Repairs �Ccplace <br /> Q In Acccssory Structurcl <br /> � *You will need ariur�uaroval and may need CUP.(Per Orono City Code,Chaptcr 78,Article IV) <br /> �'i7a�S�te 1'b'yvner x��"�x�"���o'�';,�,,�� <br /> �Site Address: "1� Q �d�� � � � <br /> Owner. � Q'�Mailing Address� ��� ____ ', <br /> �� ' <br /> c�ry: _ ��S 0�b z�p� <br /> _p <br /> Z�oane Phone� ��� d�r�� -J � � � Alternate Phone: � I� <br /> � ����� �A����, �„ <br /> ��Ga`ni�a����5r'�Inf�nti.tii6n: ����+�?;`l�i��i��xli,� Gr`�'� ����i;�4����i�'��i'� <br /> , �y o a r �G�. ��a � ���l n l� l�J�� <br /> Contractor:p�A�„; „ ,�,,,., r ro,v��t I I ir. Contact Person: <br /> � P <br /> �uV,,,b� (' <br /> 1lddress: � � State Bond#: � �"�� D � <br /> nfie�na �� Q�v�.-� �,O l�" <br /> CiLy: , 1�_ Zip:_�� Expirahon Date: ,� <br /> sv 5-�,��.$' r <br /> Phone: C�I�-`��� '��c��( Altemate Phone� <br /> [� Tnsurance�-Current: � 1 }� ` ��� n� <br /> 1 <br /> ' i <br /> 1 <br /> � <br />