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'`� �p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: ��/� —/ro <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# Z D�(o — OOS � <br /> yF� c> (952)249-4600–Main A �Oved B �� <br /> qKESH�P'� (952)249-4616–Fax Pp y' <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 <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: i ��1 �� ��� �� �-��' �� �- ������ <br /> Owner: -� ��--�-�- �� "�K-� Mailing Address ��� v� �-�-w' _���- `'� <br /> City: ����� Zip: <br /> Home Phone: ���� 3}-�- `�`3��� Alternate Phone: <br /> Contractor Information: <br /> Contractor. �--��-� ��J.� Contact Person: -'�'-'���'�� <br /> Address: �.�G - 2- t-�-� 7 State Bond #: <br /> City: �"t��= Zip: ���✓��� Expiration Date: <br /> Phone: `l��z r �4`�"� ��� �� Alternate Phone: <br /> ❑ Insurance -- Current: <br /> Page 1 <br />