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� ���� �p� � � City of Orono FOR TY SE NLY <br /> ' � NO�`, P.O. Box 66 Date Received: <br /> ,, . <br /> ! �'` , '� 2750 Kelley Parkway Permit# ��J /�, � ��o <br /> �� �� Crystal Bay, MN 55323 1� <br /> �`� �� �`l (952)249-4600—Main A r'oved B <br /> �'����"�ti�+��``�-� (952)249-4616—Fax pp Y� <br /> Amount$: �l� <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 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 ❑ Additionai ❑ 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: � r <br /> � � / <br /> ` �— , < �� ,( <br /> Site Address: ✓f�� `��� G �� � � G v� <br /> Owner: � ��� ���e� _l��n5 �'� Mailing Address: `��� � �� �������- ��� °� <br /> c�ty: ''� (��`�C���-- zfp:SS� �'l <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> n <br /> Contractor. � �"�7 (�����1 �'���h Contact Person: �� ���i�� <br /> �� <br /> Address: /�,�J '� fil/e5� �:'ct�(������� L��S�t te Bond #: � � <br /> City: �-��9 �G�� Zip:��� �J� Expiration Date: <br /> Phone: ������������ ��� � Alternate Phone: <br /> 0 <br /> � Insurance — Current: �` 5 <br /> Page 1 <br />