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_ �-�����`�_ City of Orono FOR CITY USE ONLY <br /> C,}�`�, P.O. Box 66 Date Received: �-2-D — !� <br /> i <br /> 2750 Kelley Parkway RECEIVE Permit# �o/ �-L%Gl�(oZ� <br /> .���� :, ,� Crystal Bay, MN 55323 <br /> y��"��`�1� �c`�' (952)249-4600—Main A roved B : <br /> \'�xf s'tiou,,� (952)249-4616—Fax �A� �Q 2��,` pP Y ��. � <br /> ��_�� <br /> Amount$: <br /> �IT�'�`p��►y�f <br /> CITY OF ORONO — PLUMBIfVG PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:/1www.dli.mn.qov/CCIDIPDF/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 /> �. Vl�hen any new construction or remodeling is invalved, 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 /> �C Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need qrior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> - � �, <br /> Site Address: �-�� i'- 1`;�' ,� ;-;,� i� {� ' ��`, l � ��' � � <br /> �� � � �� � -'; a% <br /> Owner: ���'��_��. ��: — ��t��� '����:���'��C',,�, MailingAddress �� ���.�-+ ��' �, ��_�,,'_f', i ��1 ���'�� � <br /> c�ty: C'�'t ��'��� z�p: �;�>����; ; <br /> (�;, �� .�<�_ C; - ,=�_� � t <br /> Home Phone: Alternate Phone: x� " � <br /> Contractor Information: <br /> i � <br /> Contractor: ������ _� �� ��!" ��, �-�� �'` !�t���Contact Person: '���`�����°��-�- 1����'�'�1���11 <br /> -,, �.. <br /> Add ress: ���(��;� ��i����_- _J�. I��� State Bond #: ��� �t'lG��j1 �� <br /> r� 1 ��p1 <br /> �.1� \ � � I " <br /> City: � �<� , Zip: ��`._�,��7�� Expiration Date: }�� '�"j -� i % <br /> i <br /> n�<� � '--��-� - �''�i , <br /> Phone: ", �_ -) � Alternate Phone: <br /> [�Insurance — Current: <br />