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�pN City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: `-1 J z � ` � �% <br /> 2750 Kelley Parkway -� <br /> K � � Crystal Bay, MN 55323 Permit# --C �G � ���f 3 b <br /> y�^ c> (952) 249-4600—Main A p proVed B y: �� <br /> l qKESHO Q'� (g52)249-4616—Fax 1 c�, � �.0 <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.qov/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 /> �New � ❑ Additional ❑ Repairs Replace u�� <br /> C'��� �� <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: / v � ��� � ��`G` S� �� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � --�►��`'j�'j� �/�t'"-�� "� ��ontact Person: r✓ w'6�'^'S o�'`' <br /> Address: l � S� � ���� ,��-� State Bond #: �� �. `�� ��53 <br /> City: .�.��,'' �'v ' Zip: SS 3 j / Expiration Date:l� �.3� -��� � <br /> Phone: �Z- �� �'��� �L� Alternate Phone: �J Z �' ��� � f 37 O� <br /> [3�Insurance - Current: <br /> Page 1 <br />