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' '�p� City of Orono FOR CI�j�,�,SE ONLY <br /> O P.O. Box 66 Date Received: �E/�(o-a� �o J"� <br /> 2750 Kelley Parkway /_ <br /> Crystal Bay, MN 55323 Permit# 4�—� —/,� <br /> yF�q �C� (952) 249-4600—Main A r'Oved B <br /> KfSH�� (952)249-4616—Fax pp y' <br /> Amount$: ��• � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.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: �Ca��� ��/���L,�,�����1� �//1�,�� <br /> Owner:�f/�-'�`f vl�_� ✓,Y..j� � Mailing Address: <br /> �— <br /> city: ������ �`i/�� zip: J 5� �1�� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: / <br /> , � <br /> Contractor: � ��-���J� S Contact Person: � l ' �C�� <br /> Add ress: ��U�� �-t) ,X 7 ��7✓ ���� State Bond #: <br /> City: i����i�G��l r��G' l-s Zip: ,Sr>�y Z�- Expiration Date: <br /> Phone: �S G �% C� �%� ��� Alternate Phone: �.� � �`/�� ��� -� � <br /> ❑ Insurance — Current: <br /> Page 1 <br />