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�"' ,��=,�p����� City of Orono FOR CIT U QA1 LY� <br /> � � . �—��.7--'/ <br /> � P.O. Box 66 Date Received: <br /> t 4 2750 Kelley Parkway �J <br /> � ` .. ' Crystal Bay, MN 55323 Permit# �� � —� �✓ <br /> `.,'�;,�,� `;�;' (952) 249-4600-Main Approved By: <br /> � xFSH���-- (g52)249-4616-Fax � <br /> ---- 1'll �7 Amount$: � <br /> 7 <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (Ail Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:llwww.dli.mn.qovfCCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> � TYPE OF PERMIT(Check All That Apply) <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: � AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Jo� Site / Owner information: <br /> Site Address�� � � �n ► ����� L� ��� <br /> Owner:J�IQ�TU Mailing Address: <br /> City: Zip: <br /> Home Phone: Lp1Z -�loC� ��31�-1 Alternate Phone: <br /> Contractor Information: <br /> Contractor: �,�C)�c�,rc'] ��c�s�r.�� o. �� Contact Person: ��Y�rrrc� C�c�'�`� <br /> Address:+ll� l� 0�1 `4' �t� ��i�l State Bond #: l�C.��3gSS <br /> City: �$� � i� �C�'K Zip: 55'-1Z� Expiration Date: 1a ' l � <br /> Phone: �-1�2�� yC""C�,�-l1b Alternate Phone: �SZ�G ZC� �1?_�� <br /> [�Insurance — Current: P <br /> a���P�e����, .���, <br />