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l0/23/2012 13:12 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> FO CIT USE ONLY <br /> ,�s'� City of Orono /!>� D 7 <br /> /O�"����� P.�,Box b6 Date Received: � ertnit# a0l a" � <br /> �.Fr,� 2750 Kelley Parkway <br /> � y1 t�''�� Crystal Bay,MN 55323 Approved By: Amount$: �a• <br /> '' (952)249-4600 <br /> �+ae� <br /> CITY OF ORONO-PLUMBING PERMIT <br /> (All Commercial permits must be approved by[he Building Oflicisl or Tnspector) <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 witl be sent by return mail after a review is completed. PERMITS ARE 1VOT <br /> VALID UNTIL YOU RECEIVE A PE22M1T. WORK MUST NOT BEGTN UNTIL THE <br /> PERMIT CARD IS 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 scparate building permit must be <br /> obtainad. <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 <br /> Check All That A 1 <br /> �Residential ❑Commercial(Approval Required) <br /> �New ❑Additional ❑Repairs ❑Replace <br /> / ♦ <br /> ❑ In Accessory Structure? � <br /> *Yov will need nrior annroval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address. �.5 �-�e,rn c��� f�cX Jv <br /> Owner: �o.�r�v� ,�c�Y�� Mailing Address: <br /> c��y: z�p: 55 3� � <br /> Home Phone: ���' `�� �v -�( 5U Alternate Phone: <br /> Contractor Information: <br /> CULI��'Gd�TER CONDITIONING Contact Person: i�►�( <br /> 6030 CULUGAN WAY <br /> �04t�P�EsTC�NKA, MIV 55345 State Bond#: <br /> � (952� 533-7200 <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: 9'Sa-9 �o� - �3�7 <br /> ❑ Insurance-Current: <br /> ] <br />