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Ya <br /> . � • <br /> ' ;��p����� City of Oror�o.. . . �j (�� <br /> O �� P.o. Box 66 RECEIVE� Date Recei edR/���%�' Y <br /> � 2750 Kelley Parkway <br /> ,,� , � � Crystal Bay, MN 55323 DEG 1 9 2016 Permit# o►��/l�-�l <br /> �,4 ,�, �` (952)249-4600—Main A t'Oved B <br /> �. kFSF+��;.- (g52)249-4616—Fax pp y� <br /> ---` CITY OF ORONO Amount$: <br /> CITY OF ORONO - PLUIVIBING PEF�MIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE PERMIT CARD IS <br /> POSTED ON THE JOB SiTi t. <br /> 3. P!�,�mbing permits may be issued ONLY to !icensed p!umbinc� cnntractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice require�) <br /> TYPE OF PERMIT(Check All That Apply) -� <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior aaarov�l and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address:_ "70 f����e, G•✓s, <br /> Owner: Ucrtb�l�,�����,�,� _Mailing Address: 7� �`��Qe�.jc- Gtrn <br /> city: �i�'o�� zip: ?'S34 � . <br /> Home Phone: �SZ- �13- 00$D Alternate Phone: <br /> Contractor Information: -� <br /> Contractor: ����i�J�bf�g ..: <br /> PC QOQ3�8 <br /> Address: �y��_�� <br /> . . '� .-. ;, _.. <br /> �7Q�dd RQa�f . <br /> city: ��� ������� � <br /> ❑ Insurance - Current: <br /> Page 1 <br />