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t <br /> j`���"����� City of Orono ,1� FOR C,I'�"YI�,7C ONLY <br /> ' � �a `., P.O.Box 66 DI Date Received: `'"�J L�"r��� <br /> ', t `� 2750 Kelley Parkway �/ � <br /> f�• ti Crystal Bay,MN 55323 [�' Permit# Z C � <br /> ,, �;l;; Phone:(952)249-4600 Approved By: <br /> � a,�-E'�a�; Fax: (952)249-4616 <br /> -- Amount$: <br /> CITY OF ORONO - IRRIGATION PERMIT <br /> PERMIT CODES: City of Orono, Minnesota State Plumbing Code <br /> Sprinkler/Residential/Lawn Sprinkler/Blank <br /> Sprinkler/Residential/Backflow Device Only/Blank <br /> Please Check One: New Addition ❑ <br /> Job Site Address: � C.�� � ( T t� <br /> Owner. u�� e U Telephone Number: � ' ��' `�y <br /> (�' t <br /> Mailing Address: —l�� ���1 C,(' ll� �J� t� � /J� <br /> c�cy: �1I��1��- z�p: SS3�/ <br /> Sprinkler Contractor:� ��'✓� � � Telephone Number �'�O�' Y�O �2o d <br /> Contact Person: �N v�1 c� �'" License��l(1�0�� <br /> Mailing Address c � VC� � � �'./-Y.IY-� � l <br /> WATER SUPPLY: Lake ❑ Well ❑ City�. <br /> BACKFLOW DEVICE: �9�� PVB� _ <br /> Make�v�� Model� Year of Manufactur�o�� Quantity � <br /> INSTRUCTIONS Complete all items on this application. incomplete applications will not be processed. If you <br /> have questions, call (952) 249-4600. You will be notified by phone when the permit review is complete. <br /> GENERAL INFORMATION <br /> 1. You may apply for Irrigation System permits by mail (P.O. Box 66, Crystal Bay, MN 55323) or in person at <br /> the City offices (2750 Kelley Parkway). Submit plans for review with this application. <br /> 2. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 4. All work must be done in accordance with City and State Building Code requirements. <br /> Page 1 <br />