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�, ��� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: � - �g —%�_ <br /> 2750 Kelley Parkway Permit# �Z u [(r, ^(�n�j� —] <br /> y �. Crystal Bay, MN 55323 <br /> �^�� ��c,` (952)249-4600—Main Approved By: �I� <br /> kfSHO (952)249-4616—Fax <br /> Amount$: . "Z 6 <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> h�://www.dli.mn.qov/CCLD/PDF/pe plumbpianrevapp.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 ❑ PVB] <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: ���� h��C���(s ��- - �GJ <br /> Owner:���,I�i,rd� �`��'c,ktc r� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �ar�1 ��.� �u-������ �f�� Contact Person: �� G G1� ������50��, <br /> Address ���11 �;S�'S�v� �c'i�K,���� State Bond #: `��- G'`�5���7 <br /> City: �.C�' c:cr�� Zip: 5S?,�(,' Expiration Date: <br /> -, -� <br /> Phone: S� `�7 � r�'Lf� � Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />