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.. � �� <br /> '��� ���� City of Orono FOR Cl SE Y <br /> T � ��b <br /> � �'O `, P.O. Box 6o RECEN�D Date Received: b <br /> � 2750 Kelley Parkway �y� <br /> ,� , � `; Crystal Bay, MN 55323 Permit# oCv�� ' �77� <br /> �,���� �,� � �gs2�24s-4600—Ma�n �UL � 1 2'016 Approved By: _ <br /> _ (952)249-4616—Fax <br /> Y Amount$: /� <br /> C�TY OF ORONO <br /> CITY O� ORONO — PLUMBING PEF�IVIIT <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 compleied. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTfL 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. Ail 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-�8 haur notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> Residential ❑ Commercial (Approvaf P.equired) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior aparov�l and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: � <br /> Site Address: �J� S C..�G�rnf'/� �5�� ��'� ���' <br /> Owner:/�Oh� ��'- �,c% h � Mailing Address: `� � �� _ <br /> � <br /> City: Zip: <br /> Home Phone: ��� " �3(��U ' UU��Alternate Phone: <br /> Contractor Information: <br /> Contractor: aGh�itptOtl Plun'Ib�f1Q <br /> PC 000308 <br /> Ad d ress: 651-365_�34� � <br /> 3670 D�dd�iu�d <br /> �gan,MN 55123 <br /> Phone: Alternate Phone: ; <br /> ❑ Insurance — Current: <br /> �, f <br /> Page 1 <br />