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� �p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: �� / c/ ��' <br /> 2750 Kelley Parkway -� �, - C,� � L <br /> Crystal Bay, MN 55323 Permit# c- G(l� �S <br /> y�^�q �c,` (952) 249-4600—Main Approved By: 2`� <br /> kesfio� (952) 249-4616—Fax <br /> 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.gov/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 /> �ew ❑ 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 /> � <br /> Site Address: �� �J, ��l-%`� �1,����V <br /> Owner: / �'���% �����'J Mailing Address: <br /> � � - <br /> c�ty: a �1� ;�r,, b z�p: � .��� <br /> Home Phone: Alternate Phone: <br /> Contractor Infor tion: ,i� <br /> i � /�`, �� <br /> Contractor: ����/�'�� ���5� f l��+. Contact Person: � i �-`�/�'/1? <br /> Address: ��1�� l'� � ����7�'��`� State Bond #: <br /> City: ��'�'��= :���� � s Zip: ��� �� Expiration Date: <br /> Phone: �l C ��� /G � Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />