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11/0,6/2015 11:28 FA� .9529�a5049 CULLIGAN MNTKA �002 <br /> � + <br /> � , <br /> ' F012 CI'T5'USE ONLY <br /> �, .. City of Qrono' � � -+�� 2�"•�(�j-. �;;j y��jl.,�� <br /> � � Datc Roceived: �� I `, Petmit# <br /> $ � � P,O.Box 66 - <br /> O° ��; 2750 Kelley Parkwsy \ I� vl�� <br /> �,, ��fi;�' �� Crysta]9ay,M7�s5323 Approved 9y: �Amount 5:_ � i,•. <br /> '��\�,������ (952)249-a�oa , � , <br /> � ' <br /> CITY O�4RON0�PLLT�BYNG PERIVIIT <br /> (All Commorcisl permi�s must bc approved by[he Buildmg Off cial or InspeG[Dr) <br /> GEN�R-AL INFORMATION <br /> 1. You may apply for plumbin�permits by mail or in person at the City offsces. Applie�tions will bc <br /> reviewed and 3 pern7it will be issued within two working days. <br /> 2, permit cdrds will be sent by return mail after a review is completed. P�ItMITS ARE NOT <br /> 'VALID[JNTTL YOU RECEY'VE A PERMTT. WORK NIC�ST NOT B�GIN UNTYL THE <br /> P�RNIIT C,4RC1 TS POSTEA N TFIE JOB SITE. <br /> 3. Plumbing permits may be issued ONL�'to licensed plumbing conuactors and to property owners <br /> residin�in the dwelling. <br /> q. When any new construction or remodcling is involved,a separate building permit must ba <br /> obtained. <br /> 5. All work musT be done in acco�dance with 5tate Code re9ui[ements. <br /> 6. All work must be inspected and air tested before it is covered. Call(9�?)249-4600. <br /> (2�A$6our notice required) <br /> TYpE OF PERMIT <br /> Check All Tk�at A ] ) <br /> �lZesidential ❑Commercial(Approval ltequired) <br /> �New ❑Additional []Repairs ❑Replace <br /> ❑ In Accessory Strucnire? <br /> '�You will need urior anproval and may nctd CU�.(Per Orono Ciry Gode,Chapter 78,ArticIe IV) <br /> 7ob Site/Owner Information: <br /> Site Address: � -� 1�+� <br /> Owner: �� � (�wbbA� MailingAddress: <br /> 5535� <br /> c��y: zip� - — <br /> TTome Phone: 9S�. x�D - ��sq Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: t�CX <br /> A���! 603 ����� G��DlTIONING State�ond�: <br /> d1�l�l;v��'ONi�A, iVEN �3�5 <br /> City: ( . ` 0 �p. �xpiration pate: <br /> Phone: Alternate Phone: � - 9� -�� � � <br /> ❑ Insurance-Current: <br /> 1 <br />