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�OR ITY USE ONLY <br /> City of Orono �j� <br /> /�ONO P.O.Box 66 Date Rece eciY' � Pcrmit# �Ul�— Q 0 ��� <br /> 2750 Kcllcy Parkway <br /> Crystal Bay,MN 55323 Approvcd By: Amount$: �� <br /> � (95Z)249-4600—Main <br /> y t (952)249-4616—Fax <br /> F � CiTY OF ORONO—PLUMBiNG PERMTT <br /> ��KES E���� (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> �_ <br /> i�tt�:/h��ww.dli.mn.�ov/CCLD/P[)Fi e lumb �lanre��a� . df <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMiTS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issucd ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> ❑ Residential ❑Commercial (Approval Required) <br /> � New ❑Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need(,l,;f'. (Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: /DO 3 CO,�C �,AQ.c�L�r� <br /> Owner: �v �i � /-��12�N, Mailing Address: /G�3 Co')C .�4�o,w� F-d. <br /> City: 48�J�� Zip: �.o+'c 9 �d K� S.s.�-S� <br /> Home Phone: �.5�-�'�/6—s/ -�l,$' Alternate Phone: � <br /> Contractor Information: <br /> Contractor: � fi ��l� Contact Person: . � �'� e1� <br /> Address: gs�� 3���� � State Bond#: �C ��i//9�� <br /> City: �� � (� Zip:��{o1`) Expiration Date: /o� �/ — 2o/3 <br /> Phone: 7�-3�t�� �3C1S Alternate Phone: <br /> ❑ insurance—Current: ��'��£.�� <br /> 1 <br /> (Per�nit i�ees Continued On Nest Page) <br /> 7 <br />