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�p� City of Orono FOR CITY USE O LY <br /> O P.O. Box 66 Date Received: �� <br /> 2750 Kelley Parkway �/�� <br /> Crystal Bay, MN 55323 Permit# 2 �> ; / ` �l � <br /> �F�q � �c> (952) 249-4600—Main A roved B <br /> kesr,o� (g52)249-4616—Fax pp y' <br /> Amount$: � � <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: / 2 � � � � 2 l/f <br /> Owner:_�C1� ��.►'���� Mailing Address: Z S C1 kU` C�j(�.� Or�- <br /> ��ty: ���►� Z�p: 5 s �� 1 <br /> Home Phone: Alternate Phone: GS� ��� �l � � <br /> Contractor Information: <br /> Contractor:V�/� �0 � luv►���K Contact Person: � �� <br /> Address: ��G� � 2 C���L S� State Bond #: V'l.-<�I 3 � G�� <br /> Cit : �/`J��S>�C'` �!'�-' Zi S S�g� <br /> y p: Expiration Date: <br /> Phone: �2 y�' 1 2 �y� Alternate Phone: �Z ��� Z ��� � <br /> ❑ Insurance — Current: c,�o ��nE.�'S `� O������G Z <br /> Page 1 <br />