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�pNOCity of Orono FOR CITY USE ONLY <br /> P.O.Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> 1 � Crystal Bay,MN 55323 Permit# <br /> + � Phone:(952)249-4600 <br /> ��'r� .` ' Fax: (952)249-4616 Approved By: <br /> �."kr�i{uv- .. <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❑ Addition ❑ <br /> Job Site Address: � GL- L�-�l `� <br /> Owner: ��l/�i � �l'�S Telephone Number: /�O; � �(�-��c�r3 <br /> Mailing Ad ess: �� P�{GL�ll� {'I u� <br /> City: ' � Zip: �5��Z Z <br /> � ��� � 9y �-l13� <br /> Sprinkler Contractor: �C G ril Gi 1 3'1�+�I"' I �l�-�Ielephone Number <br /> Contact Person: �1�D (�l �i�7 � a S�I�- License (�-� �� 3� � L I�� ✓��I�('Ci�) <br /> Mailing Address �� UJ � � �5��`�`1 <br /> WATER SUPPLY: Lake ❑ Well �" City❑ <br /> BACKFLOW DEVICE: AVB ❑ PVB � <br /> Make ( � I� l �l S Model �� Year of Manufacture ���5 Quantity ' <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 />