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, ��� City of Orono FOR CITY USE ONLY <br /> � P.O. Box 66 Date Received: �— 1� -1 7 <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# �� ��— <br /> �F�q ��c> (952)249-4600–Main Approved By: � <br /> kfSHO (952)249-4616–Fax <br /> Amount$: � <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 /> r <br /> � <br /> ,�New ❑ Additional ❑ 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: l ��� � ����I� � � �� � � <br /> ^ yG �� <br /> Owner..��Q/ ���-G ��� Mailing Address: <br /> City: � !�.��C� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ���/�f"� ��U�YI(%� ,�/�� Contact Person: L�l,(K I ��l��f� <br /> Address: �S�O G/I/� �Z�� f� State Bond #: <br /> City: (�� ��K t� �� Zip: S�3 Expiration Date: �� 3 �8 <br /> Phone: ��� �sS r` �CJ 6� Alternate Phone: ��" ���'��'��� <br /> ❑ Insurance — Current: <br /> �G �� 3�£�� <br /> Page 1 <br />