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,�p� City of Orono FOR CITY US ONLY <br /> O P.O. Box 66 Date Received: �� � � •-%(� <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# 1 �=' / (�, -. �''C>����(� <br /> yF�q �c> (952)249-4600—Main A roved B � <br /> kESHo� (g52)249-4616—Fax pp y' �� � <br /> c <br /> Amount$: C1� • J�` <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (�II Commercial Permits Must be Approved by the State Prior to City P,pproval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.�df <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. f';pplications 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. PERMIT�� A!�E NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PCRMiT 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 /> i � <br /> ❑ New ❑ Additional ❑ Repairs '�i ' Replace <br /> � <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: �� � � �--�`-�-�-% G-1'�'�—L—�- <br /> ��4-�--�s�,l <br /> Owner:��� �' �N�1�-�r Mailing Address: ��1� <br /> �-, ,��� r—�'- � c- <br /> City: � � Zip: _�> � � I <br /> Home Phone: �'� �- � `� � y' =� x'� Alternate Phone: �>>-=_ ����11 ' � � 3« <br /> Contractor Information: <br /> � ' <br /> ��,, <br /> Contractor: C�act�erson: <br /> Address: � ��< <� � State Bond #: <br /> � � <br /> City: r�� c. �'�% Zip: �� Expiration Date: <br /> _ � J — �,,� <br /> Phone: C L ��alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />