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,,��pN� City of Orono FOR CITY USE ONLY <br /> O� P.o. Box ss Date Received: // - �J� - 1-b <br /> � 2750 Kelley Parkway Permit# o�� L S,� —O i �t � � <br /> �,,.,�' � ; Crystal Bay, MN 55323 <br /> \�i ��� (952)249-4600—Main A roved B <br /> 7^�FSN����� (952)249-4616—Fax pP Y� <br /> Amount$: � S� <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 finro 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 •�Pr��d�T�r�� ❑ 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: � `��3 C��n^�ti 5 T <br /> Owner: t"��� �����'` Mailing Address: s� � A�"�- <br /> City: '�✓r� ,�-s �-b��,,ti Zip: <br /> Home Phone: `s�'3��'� �`1 Q� Alternate Phone: <br /> Contractor Information: <br /> Contractor: ����� ����`�s, ��-- Contact Person: �1 i�� <br /> Address: ►��' l��x 3��� State Bond #: (���yy5o I <br /> City: L��'� '� Zip: �f 35 7 Expiration Date: 1� �i 17 <br /> Phone: ��j -'����y�� Altemate Phone: <br /> [Q Insurance — Current: ����u i�c�+'� <br /> ��� <br />