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,. ';! p � City of Orono FOR CITY USE ONLY <br /> � ,�,.. � . -�i �-r� <br /> O P.O. Box 66 Date Received: , <br /> l , ' 2750 Kelley Parkway .�" <br /> I �\� ., <br /> ;� Crystal Bay, MN 55323 Permit# �-C�1—j - <br /> � ��� ;�' (952)249-4600-Main <br /> ``��F���"��`!` (952)249-4616-Fax APproved By: � ��_ � <br /> Amount$: � � •4� <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 /> ❑ 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: I�Z� �'-�'����� ��=`'1�--- <br /> Owner:_�ti�^�t�� ��l� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � 1����=���:� Iv�u���''�'��r Contact Person: '+���5 ����.J�V; �-=T <br /> Address: 11 � � •5 �-� 51'-��r "s�`�1�� State Bond #: � ��� � <br /> City: ��S(L` Zip: ,y 7;� i � Expiration Date: / Z " '3(- / ? <br /> Phone: I �� �-- 3���- �>>Z � Alternate Phone: <br /> � Insurance - Current: <br /> Page 1 <br />