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U1/19'2015 13:21 FA� 9529aa5049 CULLIGAN MNTKA �002 <br /> � � <br /> FOR C1TY USE ONT.Y <br /> CiCy of Orono <br /> O¢Q�� P.O.Box 66 pnte Rcccived: Pcrmit# <br /> '+. 2750 Kellay Parkway <br /> ��� > A oved B Amount 5: <br /> 1� � t.!'��r�y� Crystnl Boy,MN 55323 PPr Y= <br /> ��'��, (952)2�9�600 <br /> � <br /> CITX Ok'ORON"O—PLUMBING PERMYT <br /> (All CornmErcial permits must be epproved by[he Building Official nr Inapector) <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications wiil be <br /> reviewed and a germit will be issuod within two working days. <br /> 2, Permit cards will be sent by rtl.vrn mail after a review is completed. PERTvIITS AR�NOT <br /> VALID UNTIL YOU RECBIVE A PER'�11'f. 'WORK M[JST NOT BEGXN UNT'TT�TAE <br /> PER'VIIT CARD I5 POSTED ON T�TE�OB SITE. <br /> 3. Plumbing permits may be issued ONLY to liCensed plumbing Contractors and to property ovmers <br /> residing in thc dwelling. <br /> 4. Whcn any new conscruction or remodeling zs involved,a separ�tc building permit must be <br /> obtained. <br /> 5. All work must be done in acoordanCe with State Code requirements_ <br /> 6. All work must be inspeGied and ai�tested before it is covered. CaII(952)249�600. <br /> (2448 Ixour notice required) <br /> TYPE OF PERMZT <br /> Gheck All That A 1 <br /> �Residential ❑ Commercial(Approval Required) <br /> �]New ❑Addi1'ionsl ❑ Repairs ❑ReploCe <br /> ` <br /> ❑ Tn Accessory Structure? <br /> #You will need priOr ApbtOWAI Sqd m0.Y tteed C�.(Per Orono City Code,Chapcer 78,Article 3v) <br /> Job Site/Owner X���or��aation: <br /> Site Address: 1 reA <br /> Owner: �c.�� 5���� �'1 Mailing Address: <br /> Ciry: Zip: .��`� � <br /> I-�ome Phone: 15d- `I 7 I - ���5 Alternate Phone: <br /> Contractor Information: <br /> Cantractor: Contact Person: <br /> CULL1GAiV WA ER C�IVDiT10NING <br /> Addr��U �tJL�iGAI� VV',qY State Sond#: <br /> N1! P��TO , 55945 <br /> , ���,: (952� ��3-72p0 zip: Expiration Date: <br /> Phone: Alternate Phone: 950 �`� �a�— ���� <br /> ❑ Insurance—Curr�nt: <br /> 1 <br />