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��� <br /> �v ��2 �4 _ ___ FOR CITY L SE Oh'LY� <br /> J <br /> � ,p, ,����x�'`,., Cii;b'e�f�ra�a � <br /> ,(��� + ` P O,Box 6� Dair Rec�ivett Permit� <br /> ._ 1� Y � ` ; � <br /> � � 2?3�}Krifey P'as�u� <br /> � Cr}s[al$ap,����23 .�—� "� ; ,:ppro:�ezi By: �sount S: <br /> � � (952)?�9-�E�44—�4�'s:s ��l, � �--- -- <br /> -' �� -�- i (95?�2�9--�516—Faa .�'' y�'' <br /> '���F � v��' CIT� C1F ORO:�O —PLL�:VISIti� FERivI3T <br /> � <br /> ° �`���sri�?�'� (,:��1 c�.c,m�lc�rcia!P�r�niis ti�ast be Apprared b�•tLe StntePiior to Ciry�1.pproval) <br /> R <br /> ��it�; �;����c���.dli.tnr��c���,'C_'C'I,ll�I'1���;�e 311�7��i� �l��nt�e��� � �,� clf <br /> . GEi�E�2�L �lF'ORRZATION <br /> ' l. '�'ou ma��app14•for plumbin2 permits by mail or in person at fhe�ity o�ces. �pplications v��ill be <br /> reviewed and a�zrtnit i�-ill be issued�rithin tti��o cirorkin�days. <br /> 2. Permit cards«zll be sex�t b�return mail after a re�•ie�s�is com�leted. PERI�fITS ARE NOT <br /> �':�LID t�'��TIL Y�U RECEI`+'E A PER'��iIT. R'ORK�tI'L�ST NOT BEGTiV"I�'I�TTIL TIiE <br /> PERIIIT CaRD iS POSTED O\ THE 3�B SITE. <br /> 3. Piumbin� pemlits uia}�he issu�d O\'LY io liceused pluui�ing c�ntractars and to�roperty o�ners <br /> r�sid'u►� iu zhe d�•ellin�. <br /> 4. G�'hen any new conshuctian or remodelin� is inval�•ed,a separate buildiug permit�uust be <br /> obiained. <br /> 5. �111 u�ork must be dcme in accotzlance cs�ith State Cad�requirements. <br /> 6. .all�F�ork must be inspected and air tesied before it is covere�. Call(952}249-4600. <br /> (2�4-�18 ha�r nvtice rec�aired) <br /> � � � T`YPE C?F PEI2�\-1IT � <br /> � Check AIl That f1 pIy) I <br /> �Residential ❑ Commercial(ApprovalRequired) <br /> �Ne«' ❑ Additional ❑Repairs ❑ Replace <br /> ❑ In Accessory Struciure? <br /> *Yo�i �cilt need nrior auproval and ma}>need CUP. (Per Orono City Code,Chapter 7S,Article I�') <br /> Job S ite l���ner Information; <br /> Site Address: �� �.�`�'�'/�: /�''tG` ' �,� <br /> . _,.,_. /� <br /> O�vner:�C}c<� ;,� c�i h���r /`7C=6.'►��+r��iailing Address: 3�{ .�� ��:�� ��, <br /> ��� <br /> City: r �' , �.��_,;�l��� Zi�: ��3�� <br /> Home Phone: Alternate Photie: !'�� ! � � ����/ t,�� <br /> ; C:ontractor Information: � � <br /> �/ .�1 � � .,-- �° ��'��.- �� l7E�;T��J`""G ,�"/�"` <br /> l`� <br /> Contractor: ,� ���'�``� ; ��-�"��� � orttiact P�fsc�n: '��"' � 1 <br /> / /� �^ c� <br /> �.ddr�ss: � ��'�C� �tr+c���.`'(.�t State Bond #: /"� tc� � �-��� <br /> . + f � , � <br /> City: `� �� �'t"rJ� t' Zi����Expiratioil Date: � � ( �.. <br /> Phone: �ri' 2 -"'� t"i G�`� ����� Alternate Phone: ���Z—��;� --��--��� � <br /> � Insuranee— Current: ��'�'� � ��'����f <br />