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11/23/2016 09:05 FAX 9529a350�9 CULLIGAN MNTKA C�002
<br /> .�p� City of Orono '. ' ,FOR,CI E N Y,�
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<br /> 4 P.0_Box 66 Da.e Recerved
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<br /> 2750 Kelley Parkway " � .�,�r•
<br /> a Crystal Bay,MN 55323 Permit# : '�" �
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<br /> F �c,� 952 249-4600—Main ' '�' , � �,� � i , �
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<br /> �'�'C SH00. (952)249-4616—Fax .���,,,r�l,.� ,�,�.�r ,�, ,���� ,.����,���, i�
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<br /> CITY OF ORONO— PLUM�ING PERMIT
<br /> (All Commercial Permits Must be Approved by the State Prior to City Appr�val)
<br /> http:!lwww.dli.mn.qov/CCLD/PDF/pe plumbplanrev_app.pdf
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<br /> TION.. ��,. � „�. �,:�„
<br /> GENERAL°,iINF;ORMA �.�,;, ,�I�.��:� :�.; ,.� ,..�.,I: :�I�,�,:���I �.,: .�,. •� �;.�� �,, ,,,:
<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 wilf be issued within two working days.
<br /> 2. Permit cards will be sent by return mail after a review is �ampleted. PERMf7S ARE NOT VAL1D
<br /> UNTIL YOU RECEIVE A PERM17. WQRK MUST NOT BEG1N UNTIL THE PERMIT CARD !S
<br /> POSTED ON TH�JOB SITE.
<br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contracfors and to property awners
<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 8ta�e Code requirements.
<br /> 6. �Il work must be inspected and air tested before it is covered. Ga[I (952)249-4�600.
<br /> (24-4$ hour notiCe required)
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<br /> �Residential ❑ Commercial (Approval Required) [BackIIowDevice:�AVR ❑Pvs]
<br /> �„New ❑Additional ❑ Repairs [] Replace
<br /> ❑ In Accessory Structure?
<br /> *You wilf need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Atticle 11/}
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<br /> :'J'�ob";�S'ite'°7�i�Own'er,��nfpr�ria't�on;�:ll:;�,, ,I,i':!',�,��I,''�II1'„��:�''I"I;
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<br /> Site Address: `�3 0 gr�+.��, �� -S
<br /> Owner: 1�a�c�+ �-��-.w� Mailing Address;
<br /> City: Zip:
<br /> Home Phone: 9S - �� - '7 07 � Alternate Phone:
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<br /> Contractor: Contact Person:
<br /> •rU�.�f�Af>3 1NAT�R CpNpITIONING
<br /> Address: 6Q3a CULL�GAN WAY.. State Bond #:
<br /> ��f�IP16�fV�7'ONKA, Mld 55345
<br /> City: � �g�2� ���`���o Zip: Expiration Date:
<br /> Phone: Alternate Phone:
<br /> ❑ lnsur�nce—Current:
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