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,- �pN City of Orono RECEfVEp FOR CITY Uy E ONL <br /> O , P.O. Box 66 Date Received: (� -�-�^�� <br /> r <br /> ' 2750 Kelley Parkway <br /> �� .,� _ � Crystal Bay, MN 55323 �����t�� � �j J a, Permit# ���— � �J�� <br /> �� � � (952)249-4600—Main ����' A roved B /�� <br /> i^����,"•` (952)249-4616—Fax C��, pp Y <br /> OF pRONp 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: �� � �aYS� CJ � <br /> Owner: ��C �i'l�� � Mailing Address: `�� �`{Ys. � ( <br /> � <br /> c�ty: ►� e �c �'1 z�p: 5 5� <br /> Home Phone: l,¢(� � $�9�� �0��Alternate Phone: <br /> Contractor Information: <br /> Contractor:C��� �'�C`'J ����^16,'h� Contact Person: v I"� V° (/'" <<C 6� <br /> Address: ��g�' u ��� �`�Y �r�State Bond #: t � ��� � �� <br /> City: �� Zip: �J � Expiration Date: ��/3� I ( <br /> Phone: J� � � T > � v � / 3 Alternate Phone: <br /> ❑ Insurance — Current: %� S <br /> Page 1 <br />