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r <br /> / <br /> __ <br /> - �pN . City of Orono FOR CITY USE ONLY <br /> � O P.O. Box 66 Date Received: �- Z i� �� � <br /> ' ` 2750 Kelle Parkwa <br /> ��\I' � � Crystal Bay, MN 55323 Permit# � v � � J �'C� �� �� <br /> f�1 (952)249-4600—Main <br /> \\`'"��t`� \^ (952)249-4616—Fax Approved By: �Zj-� <br /> � Amount$: � '�� <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:llwww.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 /> , � <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: � �s � t�"�y` � � �.`'�v� <br /> Owner: W:��S��� �� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor:� ����k"`r��`� C�IV+�-Ivi�lc� Contact Person: %�/.5 ��'�1�G�v,fT <br /> Address: ��Z � 7+`� �� 5`' �� l�`� State Bond #: �5 `S�-s � <br /> City: �—�u�k`� Zip: � S� � �l Expiration Date: �Z'3 I-l�� <br /> Phone: ���-3�-�- C%f Z `� Alternate Phone: <br /> � Insurance — Current: l�S <br /> Page 1 <br />