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O1/21/2014 12:34 FAX 9529335049 CULLIGAN MNTKA I�002 <br /> F R CI Y USE ONLY <br /> �p� City of Orono � Z �Tt� <br /> '� (J <br /> //Q O P,O.eox 66 Date Received: � - Permit N �� <br /> �� �;,,, 2950 Kel ley Parkway <br /> � �?�,'_ }� Crystal gay,MN 55323 Approved By: Amount�:�- <br /> ���.�.cC (952)249-4600 <br /> � <br /> CITY OF ORONO-PLUMBING PERMIT <br /> (Afl Commercial peimi�must be approved by the Building O�cial or Inspector) <br /> GENERAL INFORiV1A7'lON <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wil!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 WTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL TI�E <br /> PERMTT CARD IS POSTED 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 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 OP PERMTT <br /> Check All That A 1 <br /> �]Residential ❑Commerciai(Approval Required) <br /> /\� <br /> ❑New ❑Additional ❑Repairs �Replaca <br /> i � <br /> ❑ I�Accessory 5tructure? <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: o�av C.uG v�e,1 ��aC� <br /> Owner: C�r i S l��ye5 Mailing Address: <br /> c�ry: z,p: _ss35l� <br /> Home Phone: `�Sa- �}Oy ~�ja'��, Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person; <br /> CULLIGAN �IATER CQ�lDITIO�ING <br /> Ad��O ��L�iCaM�V 'v'VAY State Bond#: <br /> MIIVNE70iVK�, MN 55345 <br /> � City: (95�) 9�3-�200 Zip: Expiration Date: <br /> d_ <br /> Phone: Alternate Phone: �5 a -9 I o�- ��1� <br /> ❑ Insurance-Current: <br /> l <br />