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Jun O1 z016 2: 47PM HP LRSERJET FAX p. 5 <br /> r , � I <br /> Cit of Orono <br /> ��� P.O Box 66 FC}R CI•�''Y �_�N Y <br /> i ��tL'Rf'.GAI1f�. F-' �"" �^ <br /> � 2750 Kelley Parkway <br /> a Crystal Bay. MN 55323 P�rnti## � : `�4'✓ �������'` ' Z �j. : <br /> y�" �,� (952) 249-4fi00—Main ` �����.�:` ,���� <br /> �°j�f�Mo"� (952) 249-4616—Fax <br /> A�riouttt�: � � ��-' <br /> CITY OF OROMO— PLUMBING PERMIT I <br /> (All Commercial Permits Must be Approved by the State Prior t�City Approval) ! <br /> httn:/lwww.dli.mn.aov/CCLDIPDF/pe afumbplanrevapp pdf �'� <br /> ''���f� �`":���t�'�l : �f�' : <br /> 1. You may apply for plumbing permits by mail ar in person at the City offices. Applications � "II be <br /> reviewed and a perrnit will be issued within two working days. � <br /> 2. Perrnit 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 CA D IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plurnbing contractors and to property �wners <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. I <br /> B, All work must be inspected and air tested befare it is covered. Call (952)249-4600. I <br /> (Z4�48 hour notice required) ', <br /> R� ' <br /> - � `� '1'`i��(�� PEF�I'IT( <br /> �h�k Af� '��a�:��l?1�� � <br /> �Residential ❑ Comrnercial (Approval Required) [BackflowDevice: ❑ AVB ❑ PVB] <br /> �New ❑ Additional ❑ Repairs <br /> �] F�eplace <br /> ❑ In Accessary Structure? �i <br /> "You wilt need nrior aaurova! and may need CUP. (Per Orano C(ty Code, Ghapter 78,�Article 11� <br /> ���. ,��7���11f�id'�ff�V`1: '� <br /> Site Address: �a��U�x�T� �o�.✓r �SV�p I <br /> � " � � i <br /> Owner: �� C�,Fwftf�-s� Mailing Adclress: � <br /> City: ��p; <br /> Home Phane: Alternate Phone: '� <br /> �a�rt�'a�#Qr'�r�fcxrna��on: '', <br /> Cantractor: ��.(,���,�.c,�S Contact Person: `�at� �AsPA�-�', <br /> Address: �C`� C�6�ve,� �c-. state aond #: I���D33�'-to �I <br /> City: S i f.o,�•i5 I��ut Zip: ,��� Expiration Date: �(tclt� <br /> Phone: R�}�- - ��'�{YB� Altemate Phone: q��- ���'�'�� <br /> �Insurance -Current: �S� ��w�0 w c oa c at�9 c '���3 f��, '� <br /> �—�-- <br /> � <br /> Page 1 i <br /> � <br />