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. ,. � N City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: �f L� _1(0 <br /> ,�l � 2750 Kelley Paricway � <br /> 1 � _ Crystal Bay, MN 55323 Permit# '�. O�(p (��� �� <br /> ,\,� � (952)249�600—Main <br /> "���+�``� (952)249-4616—Fax Approved By: I7--b <br /> Amount$: <br /> CITY OF ORONO— PLUMBING PERMIT <br /> (All Comme�cial 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 o�ces. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by retum 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 buitding 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 /> �esidential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs �eplace <br /> ❑ In Accessory Structure? <br /> *You will need arior aaproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site /Owner Information: <br /> Site Address: �0� �t—�� `5`� <br /> Owner:�y 5����--1 ��,-��� Mailing Address: � ���= � S�� <br /> c�ty: c��;� �` z�p: S�3`t I <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> n <br /> Contractor: �v�l e ���� ��1 (.��� Contact Person: �c�� � �-� � <br /> Address: �-Z Z z ��.� �.�;�c>c� �` S State Bond #: �C � `�y`�y S ,. <br /> n I <br /> City:� L�� �� t�,�� _ 6'�� 1�-% Zip: � ��F Z c> Expiration Date: 1�l�� �� <br /> �-. _ <br /> Phone: _ 1 ��- S� S ��6�5 � Alternate Phone: <br /> � Insurance —Current: �e�c�rr.�( ��4�1 I( o�� I b L ; °�� ��� <br /> � o�r�(zz� l�C�v �� �..=� <br /> Page 1 <br /> .� <br /> �4 <br />