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07/OR/2013 11:53 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> OR TTY USE ONLY � <br /> �4��� City of Orono 7 8 �/� y �p� <br /> 0�` P.O-Box 66 Date Receiv� � Permit#Ou/�J <br /> ��;;,E�, �, 2750 Kelley Parkway � <br /> (�/ 5� }>> Crystal Bay,MN 55323 Approved By: Amount$ � <br /> '�`���� :;� a�j�� (952)249-4600 <br /> �:.,�� <br /> �k�go <br /> CTTY OF ORONO—PLUMBING PERMIT <br /> (nll Commercial permits must be approved by the Building Official or]nspector) <br /> GENERAL 1NFORMATION <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 wi11 be issued within two working days. <br /> 2. Pcrmit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MiJST NOT SEGIN UNTTL THE <br /> PERMIT CARD IS 1'dSTED ON THE JOB SiTE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properry 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 requircments. <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 /> TYFE OF PERMTT <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 CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: � l S �re.5�V��.w I�oL <br /> Owner: 1����.o. C-����✓� �5 0� Mailing Address: <br /> c��y: z�P: ss 3 5 ( <br /> Home Phone: �,I� `��3-�`(I a Alternate Phone: <br /> Contractor Information: <br /> : <br /> Contractor: Contact Person: �� <br /> CUt„�t�3v��;WATER CONDITIpNING State Bond#: <br /> fi�30 CULIIGAN WAY <br /> �yNNETONKA, IV1N 55345Zip; Expiration Date: <br /> �-_. - <br /> (952) <br /> Phone: Alternate Phone: `�5,� � 7 I]-��i 17 <br /> � ❑ Insurance—Current: <br /> 1 <br />