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�p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: _ �:`a l 1 5 � �� <br /> 2750 Kelley Parkway � �_� <br /> Crystal Bay, MN 55323 Permit# Z � � U' ` �-�� '�r ' <br /> yF ��` (952) 249-4600—Main l <br /> � �qkesHo'�ti (952) 249-4616—Fax Appfoved By: _ ��_ � <br /> �c <br /> Amount$: `h�. ' � <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 ❑ 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: "I ��'� ��,�1�{� (�, <br /> Owner: Mailing Address: �'�(�0 �cr,�,�S�, l�, <br /> � <br /> City: �y�h� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �c?G���o,np��►'10, Contact Person: C ��� �t/��Y��(�l � <br /> Address: _�i����,����� L�- State Bond #: <br /> City: `� �,��r;��G�P.� Zip: �.�7,�J Expiration Date: <br /> Phone: 7�3 `�'��1 - 1�'I"�(v Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />