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L � . <br /> /p� City of Orono FOR CITY USE ONLY <br /> � Q` O P.O. Box 66 Date Received: �T��_�/(o <br /> (( 2750 Kelley Parkway Zd `� - �U 5 <br /> �. y� � � Crystal Bay, MN 55323 Permit# � <br /> �" c> (952)249-4600-Main <br /> !7'rfSHo�� (952)249-4616—Fax Approved By: <br /> Amount$: Z -�-0 v <br /> CITY OF ORONO — PLUMBiNG PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mr�.qov/CCLD/PDFIpe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by maii 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 /> [v]'FZesidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs [�eplace <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: ZS C'„q,,.�- P/�..c_. <br /> -T <br /> Owner: l��� L��v Mailing Address: S�Q2n�' .8�s sr�lt <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��v I�rc:� 1�L Contact Person: �,,, [:(�!•�� <br /> Address: /ZI/t� ,;�c�=� ��— itJ State Bond #:�''��'�S5'� <br /> City: (;l�„a-„.a l��►. ,��� Zip: SS��%� Expiration Date: i�3j�i`7 <br /> Phone: �;>Z "'.�%b�' �t��a� Alternate Phone: 7,6"� �5�� .3�'a"7 <br /> � Insurance — Current: <br /> Page 1 <br />