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S � <br /> f,�pN�.� city of orono RECEIVED FOR CITY USE �y� <br /> i O �. P.O. Box 66 Date Received: O��(�—��"`� <br /> 2750 Kelley Parkway ,/ / <br /> I �,` ' `;� Crystal Bay, MN 55323 APR 2 8 2016 Pe�mit# 7— "Z�—/ � <br /> ��'�� �� (952)249-4600—Main A roved B <br /> ''kesf�o�`/ (952)249-4616—Fax pP y� <br /> �--- CIZY O�dRONO Amount$: � 7 <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.qov/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 /> �,Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ Pvs] <br /> �j 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 /> Site Address: ��% ��k���(�vi� ,���,��. - <br /> Owner:L������c_._��..',�(�'�.c�tllailing Address: �//� ��/_�c�, /:������ <br /> City: /�c�� Zip: ����J <br /> Home Phone: �?��-���5�y5 Alternate Phone: <br /> Contractor Information: <br /> Contractor:N���� f;� � �- Contact Person: � ' <br /> ,y- � <br /> Address: /"--��'/� ��4`-' State Bond #: �'��S�S�/'7 � <br /> City: �a-�-n-� . Zip:�� �, Expiration Date: '' "' /� <br /> Phone: ���'- �y- ��� �f Alternate Phone: ��� ��` 7�� <br /> � <br /> [�Jnsurance - Current: �� <br /> Page 1 <br />