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• • .�pN City of Orono RECEIVED FOR CITY USE ONLY <br /> O P.O.Box 66 Date Received: � ! � � � � <br /> 2750 Kelley Parkway <br /> a � crystai eay,nnN ssszs �UN 1 5 2016 Permit# � �. ,_; � .- ,1!;� ' .� <br /> y�^ �c;� (952)249-4600—Main roVed B <br /> �1KfSHo�` (952)249-4616—Fax �P Y- <br /> CITY OF ORONO qmount$: '�� ��'' <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htta:Hwww.dli.mn.qov/CCLD/PDFIpe plumbqlanrevapp.adf <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 peRnit will be issued within two wortcing days. <br /> 2. Permit cards will be sent by retum 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 cont�actors 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 /> (2448 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> � Residential ❑ Comme�cial (Approval Required) [Backflow Device:Q AVB ❑PVB) <br /> ❑ New � Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> "You will need arior aaaroval and may need CUP. (Per Orono City Code, Chapter 78, Article I� <br /> Job Site / Owner Information: <br /> Site Address: a� �� ��«-�-�-� ����' �� � <br /> Owner:��� �-�m'L-a-�� Mailing Address: ����� ��� P9'�-�l'L-�' �`�-' <br /> city: CQr��w Z;p: 5 5 3q ► <br /> Home Phone: � �� - u �-�— ��� �� Altemate Phone: �`�a -�''� �-b�'i �' <br /> Contractor Information: <br /> Contractor: c'�� ����� Contact Person: JI N� SGt-��(3�i2 <br /> Address: 3�-I��-I�d � ����� �' State Bond #: ��'��1'� �J G <br /> City: �'���'.��'�'���I Zip: ��� � Expiration Date: ����r �� <br /> Phone: � �5 " ���'"� � �'�'� Alternate Phone: <br /> ❑ Insurance— Current: <br /> Page f <br />