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FOR CITY USE ONLY <br /> � City of Orono �j,A (n Za� � � <br /> P.O.Box 66 Date Received: �>�L 1���"Permit# �U'� S <br /> 0 � 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 Approved By: ___�_�_ Amount$:y�_ <br /> (9�2)249-4600—Main <br /> � � (952)249-4616—Fax <br /> F �` CITY OF ORONO—PLUMBIlVG PERMIT <br /> f�KFSHO�`� (All Commercial Permits 1Vlust be Approved by the State Prior to City Approval) <br /> ht# ://rv�vw.dli.mn.Qov/CCLD/PDF/ e lumb lanreva . df <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 NIUST NOT BEGIN UNTIL THE <br /> PERi'�IIT CARD IS 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 <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 /> �f Residential ❑ Commercial(Approval Required) <br /> ❑ New ❑ Additional ❑ Repairs [�Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior apvroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: �i7Q� GUScv Av� <br /> Owner: ,�c�v�n j Gi�c1�I kl�Ck Mailing Address: <br /> City: �rcn� Zip: 5`��91 <br /> Home Phone: �;,I,�.�y(s,I -5'-��S 7 Alternate Phone: <br /> Contractor Information: <br /> �. <br /> Contractor: i I ��:��(!'', �� �� � ����'��1C� Contact Person: i c�r TLCc�c. <br /> �y' J <br /> Address: �� �� �IiCICY �`C� State Bond #: <br /> City: ������'�� Zip:�t�1z-�' Expiration Date: <br /> Phone: Yi��``�L��i ���1 �� Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />