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, FO ���USE ONLY <br /> " ���� City of Orono �� ����.-� �� � <br /> � P.O.Box 66 Date Received: �ermit# <br /> ���, ,� �� 2750 Kelley Parkway <br /> .� � '�1;�;�:_ F Crystal Bay,MN 55323 Approved By: Amount$:� <br /> �����'��c.�o� (952)249-4600—Main <br /> �aeso (952)249-4616—Fax <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Priar to City Approval) <br /> htt ://ww�r.dli.mn.�ov/CCI.�D/PI)F/ e lumb Ianreva �. df� <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing perniits 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 retum 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 pernuts 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 <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 Apply) <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 /> SiteAddress: ,.���� ���/'���� ���/��,� <br /> Owner: C�7 G� L �-�� �� S C�/� Mailing Address: `7����.,,�(,� <br /> �� <br /> c�ty: �,��-��1- t> z�p: J�3/�� <br /> Home Phone: ������ /,5%�� Alternate Phone: �f�' ����1� <br /> � <br /> Contractor Information: <br /> � <br /> Contractor: ��j�,���5 ��G�/('����1/�",�-�ntact Person: � �1; � <br /> � <br /> Address: ����j��,/.+, '��,�,�A�C State Bond#: ��?�1 �)(,y(, .�,� <br /> City: ���,U� Zip��Z Expiration Date: � � � � �i <br /> Phone: ���� ��'� ���� Alternate Phone: ��� T(C� ���Zd <br /> �,'�� �. , <br /> Insurance-Current: "9 , �� <br /> �a J �. 7 � l�,' ���C ' > <br /> 1 <br />