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�p� City of Orono FOR CITY US ONLY <br /> � P.O. Box 66 Date Received: � � <br /> 2750 Kelley Parkway Permit# 1 U % �✓ <br /> :� a Crystal Bay, MN 55323 �c: -- r���,` <br /> y� � (952)249-4600—Main <br /> ��'rfSH��� (952)249-4616—Fax Approved By: �-� <br /> Amount$: �� �5' � � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dii.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 /> �w ❑ 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: ��' � ��� �--� I �'�n � <br /> Owner: t�� , C� ��'1�.S�Y(.�L�'L(�►�IVlailing Address: � I�'�-r��� ����� � <br /> City: ���� �(,�F I�t)l� Zip: <br /> Home Phone: Alternate Phone: ��'3 ��U l � �— �� � 7 <br /> Contractor Information: <br /> Contractor: �%�►� 'h'1 �'1�11���-Gi_ Contact Person: � (-e� J <br /> Address: ZZ�� b ��i'� �wz-✓ �vf� Sta e Bond #: <br /> City: ��- ���_�°1��( S � � Zip: � ����� Expiration Date: �Z 3 / ��5� <br /> Phone: �lk��� �� 3�`�� 3 Alternate Phone: <br /> �nsurance — Current: � 1"�-1� <br /> Page 1 <br />