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i . <br /> �p� City of Orono FOR CI US�O Y � / <br /> O P.O. Box 66 Date Received: J� <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# �(D ,. � 7�� <br /> F�q ���` (952)249-4600—Main A fOved B <br /> kesHo� (g52)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 piumbplanrevapp.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: ��-�c' �1�N ST <br /> Owner: /v 1�K /U��'Cv�]t��N Mailing Address: 36;c� ��e^'g�i, SS�S� <br /> City: U=�'No Zip: SS.�f��f <br /> Home Phone: 61 Z-��o `� - 30 � �l Alternate Phone: <br /> Contractor Information: <br /> Contractor: C O�� �c�� Contact Person: <br /> Address: State Bond #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />