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r <br /> . . <br /> �p,� City of orono RECEIVED FOR CITY�lS� ONLY <br /> O P.O. Box 66 Date Received: �- - ! _�- � <br /> 2750 Kelley Parkway � � Permit# %���� [)�)� d L <br /> y � Crystal Bay, MN 55323 J�f� , ,� �����, <br /> F c> (952)249-4600—Main A p p r o v e d B y: l��� <br /> �qKESHOQ'� (g52)249-4616—Fax • <br /> CITY OF ORONO 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 �v��elling. <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 ❑ A�ditional ❑ Re�a�rs �I Rep�aGe <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: �'f �k� ��'�`'�c� (t��' <br /> Owner: ��'�-� � Zct I��K Mailing Address: � � �5 ��>:L� �L � <br /> city: ��}��- _�-� �.�c�,i_.�u , M N Z;p: 55�5 �i <br /> Home Phone: �� - ���� 3��r Alternate Phone: <br /> Contractor Information: <br /> Contractor: C���-� ����' Contact Person: �I ��I �� H-�r�j�, rZ, <br /> Address: '3��� ���� �� � State Bond #: (.Q �-f'G��r7 �-�' G <br /> City: ►-�ti��'��' � �v � Zip: �`��� � Expiration Date: ►�-131 �'� <br /> Phone: � � �`���' ��'�' � Alternate Phone: <br /> ❑ Insurance - Current: <br /> Page 1 <br />