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06/27/2016 08:�7 FA� 952933504� CtiLLIGAN �NTI{A �002
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<br /> • te;�:.ReceivedR,Cl,n''USE ON �..°,""„°:i;°,;'',;r;
<br /> �p� City of Orono , LY ��
<br /> Q P.O. Box 66 pa ��r�, r.j/h
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<br /> 2750 Kelle Parkwa � i �
<br /> ��' � Crystal Bay,MN 55323 k'erlrlt# A�/� � J�
<br /> y�'f_ , 0.�(.� (952)249-4600—Main �pP��ov�d �y'.'� i.. � ���� , i� �i � ��i.�.�:,��.
<br /> "'� sHo �' (952)249-4616—Fax i . I"�'� �I I ',, ,
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<br /> C �F ORONO— PLUM
<br /> ITY BING P I
<br /> ERM T
<br /> (All Commercial Permifs Must be Approved by the State Prior to City Approval)
<br /> http://www,dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf
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<br /> IGENERAL",INF:QRMATION ���;,��. � �� �� �� �,` 'ti�: �..�.u„��� I� V����:�' ���. !�' .. ;�:,�•
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<br /> may apply for plumbing perm�ts by mail or in person at the City affices. Ap lications wi, ' ',
<br /> 1. You p' II be
<br /> reviewed and a permit wi(I bE issued within two working days.
<br /> 2. Perm�t cards will be sent by return mail after a review is completed. PEF2MITS ARE NOT VALID
<br /> UNTIL YQU REC�IVE A PERMIT. WORK MUS7' NOT BEGIN UNTfL THE PERMIT CARb IS
<br /> POSTED pN THE.f06 SIT�.
<br /> 3. Plumbing permi�s may be issued ONLY to IicensEd plumbing contra�tvrs 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 accordanc�with State Gode requirements.
<br /> 6. All work must be inspecfed and air tested before it is covered. Cal! (952)249-A�600.
<br /> (24-48 hpur notice required)
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<br /> ��,,,,..�.,,,.. .,T1' .��,�F��;PERMIT Checkl�ll.That.� n� 1 �,I,. �,.�,;,�,,,�r,l,,,���.��1,,,�,��r��,�.,.���.,,��.�.,.�,,,�,.,,,,, ,�,.
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<br /> �esidential ❑ Commerciaf (Approval Required) [Backflow De�vice: �Av� ❑PVB]
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<br /> �New ❑Additional ❑ Repairs ❑ Replace
<br /> ❑ In Accessory Structure?
<br /> "You wilt need prior approvaf and may need CUP. (Per Orono City Code, Chapter 78, Article 11n
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<br /> 'Job�Sife'I�Qwne'r Informat�on ' " , ,;;; ',
<br /> S�te Address: Ar br �"
<br /> Owner: �r�.�`C ��S o� Mailing Address:
<br /> City: Zip: S��S�n
<br /> Hame Pho�e: �'a, -��\ ,: a`IO�o Alternate Phone:
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<br /> Contrac#or lnformation ,; ,.,� ,� �� , .„� ,�� ,� , , .,
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<br /> Contra�#p�-� Contact Person:
<br /> Address: 603� �UtLIGAN WAY State Bond #:
<br /> City: �----�` �g�Z� 933-72Q0 Zip: Expiration Date:
<br /> Phone"�^`-� Alternate I'hone:
<br /> ❑ Insurance— Gurrent:
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