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4 • <br /> �p� City of Orono FOR CITY USE ONLY <br /> p P.o.aox ss <br /> 2750 Kelley Parkway Date Received: �; ~ 7-�>—�� <br /> � Crystal Bay,MN 55323 Permit# -� � �-C'�> �/� <br /> y� Z Phone:(952)249-4600 <br /> �qxFSHOR�G Fax: (952)249-4616 Approved By: <br /> Amount$: �'✓ .�• � <br /> CITY OF ORONO — IRRIGATION PERMIT <br /> PERMIT CODES: City of Orono, Minnesota State Plumbing Code <br /> Sprinkler/Residential/Lawn Sprinkler/Blank <br /> Sprinkler/Residential/Backflow Device Only/Blank <br /> Please Check One: New(�f Addition ❑ <br /> Job Site Address: `� �l 5 �o �e�7 l f�r�� L-N' <br /> Owner: ��b���-J e�5ni�1-eJ� ��c'71� Telephone Number: �)Z' �'�`� 'y��� <br /> Mailing Address: � �S �0���� ��`�-�7 �.1.� , C� ��� <br /> City: b�l� � Zip: <br /> Sprinkler Contractor: ��� ���\ JJC,e--��� Telephone Number �T�.` / `I '� � I�g <br /> Contact Person: ��� `�- �� l�-1S�� , �icense P l. o 0 3 3 5 0 <br /> Mailing Address �5 6� Cl�-1 ��'� � �A C���`-� <br /> WATER SUPPLY: Lake ❑ Well � City❑ <br /> BACKFLOW DEVICE: AVB ❑ PVB� � <br /> Make '� � Model � �" ��Ye3r of Manufacture 20 Quantity � <br /> � �o Zr.' �`o r`��D � - '�.. S l�3'�l''� �C����i'l� - � }����j�'e'� <br /> INSTRUCTIONS Complete all items on this application. Incomplete applications will not be processed. If you �'�� � <br /> have questions, call (952) 249-4600. You will be notified by phone when the permit review is complete. <br /> GENERAL INFORMATION <br /> 1. You may apply for Irrigation System permits by mail (P.O. Box 66, Crystal Bay, MN 55323)or in person at <br /> the City offices (2750 Kelley Parkway). Submit plans for review with this application. . <br /> 2. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 4. All work must be done in accordance with City and State Building Code requirements. <br /> Page 1 <br />