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�pN City of Orono FOR CITY USE ONLY <br /> O \ P.O. Box 66 Date Received: ��' —/z "�/�(�; <br /> 2750 Kelley Parkway � .� <br /> � Permit# � C.��,�--�1 �� � � <br /> , .� ,.l Crystal Bay, MN 55323 <br /> "F ��� (952)249-4600—Main Approved By: �C� <br /> �1'�fSHOQ' (952)249-4616—Fax <br /> Amount$: J.� �—' <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: /3� �DX S f <br /> Owner: ����� S/�4,✓�" Mailing Address: / 3� ,`ox ��. <br /> City: D ro ,�� Zip: �`S,� 9/ <br /> Home Phone: Alternate Phone: a�-Z- ��6" 7�c�� <br /> Contractor Information: <br /> Contractor: �pi�oG � , D�S �l .+r���4 Contact Person: ,%'� <br /> Address: ?J�/O �r �►titP�r �� � State Bond #: <br /> City: ���i v�v J�'�i Zip: �S`�< ✓ Expiration Date: /2-3�/7 <br /> Phone: �6 3 '�7S D,2 96 Alternate Phone: <br /> � Insurance — Current: �' �`�,o,rt 7' /"�i�� <br /> Page 1 <br />