Laserfiche WebLink
_ Cit of Orono _ __ __ _ _ _ __—__ __ <br /> ' ��CO�i�� Y FOR CITY SE QNLY / ' <br /> � O � P.O. Box 66 � Date Received: /�-�U -�Jo i <br /> 2750 Kelley Parkway — '� <br /> � ! <br /> - ` � � ; Grystai Bay, I�QN 55323 j Permit# /� � <br /> � <br /> '� (952) 2�;9-4600 - Main � Approved By: <br /> � ���,^��"`-`��� (952)249-a616-�Fax <br /> _ i �/'� <br /> Amount �: .�.J� <br /> ClTY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Ap�roved by the State Prior to City Approval} <br /> http://www.dli.mn qav/CCLD/PDFIpe plumbplanrevapp pdf <br /> __ -_ _- _. __ _ __�...__�__- -_ _ -—' <br /> _ _ __________ <br /> GENERAL INFORMATION <br /> __ __ �---.m .__ ____ _ _-- ---_ _.--_._.._- --.___ _ - _ ______. <br /> �. Yau may apply for plumbing permits by mail or in person at the City affices. �pplications will be <br /> reviewed and a permit will be issued within two working days. <br /> l. Permit cards wiEl t�e sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST N(3T BEGIN UNTIL TME PERMIT CARD IS <br /> PQSTED ON TNE JOB SITE. <br /> 3. Plumbing permits may be issued ORJLY to licensed plumbing cantractc�rs and to property owr,ers <br /> residing in the dwelling. <br /> 4. When any new construction or remodelin� is inuolved, a separat� building permit must be obt�ined. <br /> 5. All work must be cfone 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 /> _________ _ _ ------ -_ ____- -- _ ______ __._,�.., <br /> j TYPE OF PERMlT(Check All That Apply) _ __ � <br /> �Residential ❑ Commercial (Approva! Required} [ri.�ckllt��� Z����i�� ❑ :�t'[3 [� ►�vtt� <br /> �New ❑ Additianal ❑ Repairs ❑ Replace <br /> ❑ in Accessory Structure? <br /> `You will need priar approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> � _ _._ _ .— ---- -- _ ---- __ _ __. <br /> Job Site / Owner Information � <br /> �___ ___ __ _ __ _ __ <br /> Site Address: ��7 � �� t���,. �i�� <br /> Owner: /���'� ���-%G� Mailing Address: __ ____ <br /> City: Zip; <br /> Home Phone: _ � � � -�l � � � ��S r�Alternate Phone: W <br /> �_ _-- - ___.__ _------ <br /> ____-- --, <br /> i Contractor Information: <br /> � ' 3 f������ Contact Person: �/K��. <br /> Contractor: _ �f�.�°r��d ����-✓t�r <br /> �7 "' �-r Z� <br /> Address: _.��_t S� 7� S -- ���� State Bond #: �'�- �,��.�� __. <br /> _�... .__ <br /> C i t f`1 S S�L:__ �: ....- <br /> y� Zip: .� � 3-�-^�Expiratian Date: _�'� �� ,� <br /> Phone: ..���' � 1���' � ���>� Alternate Phone: <br /> ❑ Insurance - Currc�nt: ��-�'+=�-� -5:��-i%� t ��) � <br /> Page 1 <br />