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. <br /> ' , ��fl,;� � City:of Orono C��VEp FOR CITY USE ONLY <br /> O , P.O. Box 66 R� Date Received:v� /D -I�' �� <br /> ; 2750 Kelley Parkway a�l�—�� � <br /> ,�' � i � Crystal Bay, MN 55323 OC� O� ���� Permit# � <br /> � � �� (952)249-4600—Main Approved By:�. <br /> ��'kt�s��o"`.�,�'' (952)249-4616—Fax �ND IF� <br /> _-� G1-(�(OF�R Amount$: �.� O� <br /> CITY OF ORONO - PLUlVIBING PEF�MIT <br /> (All Commercial Permits Must be Approved by the 5tate Priarto 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 MUS� NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SiTE. <br /> 3. Plumbing permits ma_y 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. Ail 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 qrior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> ---, <br /> SiteAddress: �1���� I � 1� ���� /► v�� � <br /> r � <br /> Owner; ��1�1 ��'��I'�� Mailing Address: ��`�- ' <br /> City: � W���Z��-ti�,�� Zi ���� I <br /> P� <br /> Home Phone: � ����� -��� IAlternate Phane: <br /> Contractor Information: <br /> Contractor: ���Pi�f�i�a'i�i g- � <br /> P��Q�aB <br /> Address: ���:�� <br /> �70�d Roa�f - . _ . µ . <br /> City: ��t� 0�{P�5��23 � <br /> ❑ Insurance - Current: <br /> Page 1 <br />