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. <br /> ;�'�p�� City of Orono FOR CI USE ON�Y <br /> Q`,, P.O. Box 66 REC�IVED oate Received:��a'/-� <br /> �'1 2750 Kelley Parkway <br /> �y�' �� Crystai Bay, MN 55323 Permit# � ���— d�� <br /> ���� ��/ (952)249-4600-Main SEP 3 0 2D 16 Approved By: <br /> `���sx��!� (952)249-4616-Fax <br /> Amount$: � 7• <br /> C�TY OF ORONO <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 offces. 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 /> �O�STED Q� T?iE�ng �!T-E. <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 aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article �V) <br /> Job Site / Owner Information: <br /> Site Address: �� ���� � � ,� � <br /> Owner� Mailing Address ���� ��� ���� ��"' ` <br /> ��—�'/ <br /> City: .!�/ ��`�,� Zip: ���b� <br /> Home Phone: :�1��,='T��'` .. � Alternate Phone: <br /> Contractor Information: <br /> Contracto : <br /> ` � . �rt�P'�2 � Contact Person:l�'Yt'�/c�Y��' � <br /> Address: � ���� � ' .� State Bond #: �����%7l <br /> City: �aJ,� ,�����lc� Zip: �`� ��' Expiration Date: �� � <br /> �� �� <br /> Phone: �L��— �'G�,�- �'�[��i Alternate Phone: %��—���`'���� <br /> %3=� <br /> �Insurance — Current: <br /> Page 1 <br />