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�ar-17-2005 03:19pm From-CITY OF ORONO +9522494616 T-719 P.002/004 F-619 <br /> J� <br /> ^�^ FOR CIrcY USE ONLY <br /> Pc�mi�# �--r,�' <br /> patcT�scived: ..:-.�-�— . <br /> C��y of Orono . �" AmountS=�"' <br /> �— nPRtOvad By: .�� <br /> O,(� p.p.Box 66 <br /> �, � 2']SQ 1Ct11oY��323 <br /> Crysml BnY� <br /> ' ���'s��� (952)2a9�60U �����.tur�+� <br /> �"�"d� OR.4N Q�p d by�$uilding O�cial oe�nsP�Lot) <br /> CXTY��' �t��av� <br /> (A11 Comrnc.�'a�4�rt"��'m <br /> GENER:A.I-'�`]���M`�'TION ]ications willbe <br /> �, for plumbing pem"u by�il or in p <br /> erson at�he City o�ice�. �Pp <br /> 1. You may apP Y e�t Wiu be issued within n"�o worlcin$d�Ys� g p�r10T <br /> reviewed ana$P mail aRer a rcview is cam letzd. P�RNi1T <br /> P <br /> 2 pemu�car�will bnU R�CEN�pERM1T- �%ORK M'UST NOT BEG1N UN'fIL <br /> ,��L-;� ��," , �ri�.3i��31�i- R contxacLors and to properry o•Wz�ers <br /> P,EIdM�T C,e,�2D IS POSTT:D v1��'� <br /> 3. Plumbing pe�ts may b�issucd ONLX to liceused plumbin, <br /> tesidinS in thz dwelli,ltg. eCi111i IIlUlst bG <br /> q Wlien any new construeuon or Tcmodeling is involved,a separate building P <br /> obcained. <br /> 5. p,1I v,,ork m�ast be done an accordance with State Code requirements• <br /> 6, A11 work must be inepzcced aud air test�d before it is cov�red. Call(952)249-4600. <br /> (x4-48 hour notice required) <br /> ��"`"J"��� T'YPE OF�'ERMIT . <br /> (Check f�.11 That A 1 <br /> �1 Resi3enrial ❑CGmme::;i.al{f.pproval Required) <br /> /� <br /> � y'�cw ��.dditicn�l [�Rcpairs ❑Replace <br /> � '�` <br /> Q In Aecessory Structuxe? <br /> ' *You wiu nPed prior approvA]and�xiay need CUP.(�'er Orono City Code,Chapter 78,Ar[icle N) <br /> � Job Site/Owrie�r Ynfoamation_ <br /> � I <br /> � SiteAddress: '� �t'f' Y�r�c.� � f Z.� t� w <br /> � <br /> ' Owner:��r`�- S C�F ��� Mailing Address: ��-�.�-'� _T_ <br /> c�cy: r.��-c�r�v. z�p: �'s,3c� �- <br /> i Home Phone; �D�� - ��' y 5(�� Altez�ziate Phone: <br /> ` Contractor Tnformation: � <br /> i <br /> i ;� <br /> Contractor: `�O�O� '��r' Contact person: �C�U� LC�I'1.Y1'�,�vt 41 <br /> A.ddress: ��f 5.�u �7�h R�� b`� State Bond#: I C1�� le�o� ��5 <br /> � <br /> City; � �1� i�l;+..x.f 1�1 Zip: `�j�4 y�cpiration Date: I a ' � I -� � <br /> Fhone: �(�3-5.I�i 3 7v� Alternate Phone: <br /> � ❑ Insurance—C�zrrent: <br /> � 1 <br /> � <br /> __ . . - <br />