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�p� City of Orono FOR CITY US ONLY <br /> O P.O. Box 66 Date Received: �l �2 l� <br /> 2750 Kelley Parkway <br /> � � Crystal Bay, MN 55323 Permit# � �t„ •— [�/�g <br /> �F c,` (952)249-4600–Main � �� <br /> • `qkfSHO�� (g52)249-4616–Fax Approved By: <br /> Amount$: �%�i � u <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 /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> )�] New �Additional ❑ Repairs ❑ Replace <br /> 1/ <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���� C'`���C� ���/1`� f�I�� <br /> Owner: � �5�.n � `�� ��-r!�" Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��SS �/Ur�I JS���1 /�C Contact Person: J�`U/l�-S �� G'�O,� <br /> Address:���� G�'K ��'�' S�� State Bond #: �� ���D�� <br /> T�� <br /> City:l,t�f�I�'e/'I J' �'"�/1� Zip:-5� -� � Expiration Date: �� --7'�-�7 <br /> Phone: (Dl,� -�/� '- 1��� Alternate Phone: <br /> �f Insurance - Current: <br /> Page 1 <br />