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� <br /> FOR TTY USE ONLY <br /> R�^�'vE O C�ty of Orono � l'� / �j Q� <br /> V � �O P.O.Box 66 Date Rece' Ed� // Permit#�� S �V� <br /> 2750 Kelley Pazkway <br /> MA� � � � '� Crystal Bay,MN 55323 Approved By: Amount$: � <br /> ri (952)249-4600--Main <br /> � � (952)249-4616-Fax <br /> h <br /> �'�1(p�pR c? CITY OF ORONO-PLUMBING PERMIT <br /> AK�SH��� (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> h![ �://H��s�ti�.�lli.mn.��m�/CCL1)/i'DEl�e �li�mh �lanreva > >. �df <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 <br /> VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN 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 separate building permit must be <br /> 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 <br /> (Check All That A 1 ) <br /> •�Residential ❑Commercial(Approval Requued) <br /> ❑New �]Additional ❑Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need nrior aaaroval and may need�l'I'.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: .3(v 3G �,�EP:v `�T <br /> Owner: /��cU'�� I��C��:�C�'1eG�> Mailing Address: <br /> City: l%' iZ.r.�ti t`, Zip: �� 3 � �� <br /> Home Phone: Alternate Phone: (r.✓a- -����- 3� j y <br /> Contractor Information: <br /> Contractor: C�`�c���l� T"1Ur�W+���- Contact Person: v�r� �c...���- <br /> Address: I l�:����s c.���ST vl,1,c..' State Bond#: }�_(��� � ,3� <br /> City: � � �T!' zip:ss 33�� Expiration Date: �2-- 3 I - ) S <br /> Phone: �7��3- '��3-- 7y/� Alternate Phone: <br /> [v� Insurance-Current: / � ;< � C R �J ���`7 <br /> N1r�5ir; �Iv.�b,- 1 <br /> -� t��� 0��9 y J'7 <br />