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05110l2016 12:49 �Al�) P.0021003 <br /> �p� City vf Orono F'OFt C17Y US�dNLY <br /> O P.O. Box 68 pate t2eceivad: <br /> 275�Kelley Parkway P�rmlt# <br /> Crystal Bay, MN 55323 <br /> i<<q ��c;� (952)2a9�600—Main Approved By: <br /> �Fsrio (952)248-4618—Fax <br /> Amount$: <br /> CITY OF ORONO � PLUM6ING PERMIT <br /> (All Commercial Permits Must be Approved by the 8tate Prior ko City Approv�l) <br /> ht�,�;/fwww.dli.mn.s�ov/CCLD/PDFIpe qlumbplanrevapp.pdf <br /> G�NERAI. INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person ak the City offices. Applications will be <br /> reviewed and a permit wifl be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALIp <br /> UNTII YOU REC�Ia/E A PERMIT. �Q�j�ll(�,�ST NOT BEGIN UNTIL THE PERMIT CARD 15 <br /> P�ST�D ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and tv praperty awners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be abtained. <br /> 5. All work must be done in accordan�e wlth State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952)248-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMiT(Check All That Apply) <br /> �Residentlal ❑ Commercial (Approval Required) [�ackflow 17evice:�,avs �PVB] <br /> 0 New [f Additfonal ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> "You wYll need prlor approvat and may need CUP. (Per Orono City Code, Chapter 78,Article IV) <br /> Job Site/ Owner Information: <br /> SiteAddress: �dai ���J'� �:t-��5� ��.• <br /> Owner: K�"r��y� ���Q'� Mailing Address: s°�m� <br /> City: 4G��.1 U Zip: . .S��1� <br /> Home Phone: Alternate Phone: 9� �"��l-�°°�� <br /> Contractor Information: <br /> Contractor: Contact Person: �J-S� ��� <br /> CCNfM�l�B COWDlfIONED WA'f�fi � <br /> Address: a��+w�a�a►ssAv�c�.a��r� State Bond #: C�'CC� l�� / <br /> as�s ....__,_, - <br /> City: Ztp: �xpiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance- Current: <br /> Page 9 <br />