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�p� City of Orono FOR CITY U�E ONLY/�, <br /> , � P.O. Box 66 Date Received: �— �P — lF� <br /> ,� 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# — � ���! <br /> yF�q � c` (952)249-4600—Main Approved By: <br /> kFSHo `` (952)249-4616—Fax <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 /> �esidential ❑ 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:���. � �pit�•��!�-C.�. �c� C.LJ . <br /> Owner: �> L�crv�_ Mailing Address: �s� ��_�Q���Q(__� � (�.�, <br /> City: �,Q r��f� Zip: .�_��3 �j' � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � Contact Person: --��•-`� <br /> Address:�`�,� � l o., ��, � State Bond #: ���oO.3'�7� , � <br /> � < < $ <br /> City: ,r�s{--� Zip:.��bZ7 Expiration Date: � <br /> Phone: CQ�� -- 7_��- �0 78 Alternate Phone: <br /> � Insurance — Current: <br /> Page 1 <br />