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FOR CITY USE ONLY <br /> ' �O A T City of Orono <br /> +y P.O.Box 66 Date Received: Permit# <br /> � � � 2750 Kelley Parkway <br /> �/ ` Crystal Bay,MN 55323 ', Approved By: Amount$: <br /> � (952)249-4600—Main <br /> �1^ 4 �- � (952)249-4616—Fax ', <br /> \�' � � CITY OF URONO-PLUMBING PERMIT <br /> \KF S F+�'�� (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> � B?e� ?'�i�Y354+��.SS. �7�4� ��< <br /> GENERAL INFORMATION ' <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE.TOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. , <br /> 4. When any new construction or remodelingj is involved,a separate building permit must be <br /> obtained. ' <br /> 5. All work must be done in accordance with'State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952)249-4600. <br /> (24-48 hour notice required) ', <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> ❑Residential ❑Commercial(Approval Required) <br /> ❑ New ❑ Additional ' ❑ Repairs [�Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: ' <br /> Site Address: v13� ��U V'v �-+..a- <br /> Owner: �1,�`a �S�G(0�►'0� ' Mailing Address: <br /> City: Zip: <br /> Home Phone: �5 a-y 13-Sj� ' Alternate Phone: <br /> Contractor Information: ' <br /> Contractor: �qQ,�.1 AI1�QV�,�U�-' Contact Person: � St�.��'1,�,r <br /> � 5�vi�e5 �—�J <br /> Address: I 1��ctvu�� �s rc�e�I IOb State Bond#: �C (y4�15 <br /> City: '�(���c�\1�C Zip:55�.Expiration Date: �'�`3 4���5 <br /> Phone: rll�3- 3i�1- O$-t-I Alternate Phone: �(�,�- aG5—C7 b�y ��.x� <br /> ❑ Insurance-Current: �IP� <br /> 1 <br />