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f p � City of Orono FOR CITY USE ONLY <br /> � <br /> � NO��� P.O. Box 66 Date Received: � �3 ! �f �� <br /> ' 1 '' 2750 Keliey Parkway <br /> �`, � �.;� Crystal Bay, MN 55323 Permit# � / 7 -- (�U�� <br /> %�� ;, / (952)249-4600—Main <br /> '�'Kf�F{�f� (952)249-4616—Fax Approved By: _ <br /> Amount$: • �� <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) <br /> I�ttp://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: -� � � <br /> , <br /> Fr����Z <br /> Owner. � Maili g ddress: �7C�1 k�l''��1�',r'Lc� �2�'' ��. 2, <br /> City: �(���17C� Zip: ��5�(c1 <br /> Home Phone: `1� - �y- //���Alternate Phone: N/�' <br /> Contractor Information: <br /> � � / � . <br /> Contractor: ��i �L�L����i �G��� �13��� Contact Person: J��n <br /> ��c� ��x <br /> Address: �� 3'����� /6�h/ Lp S State Bond #: �� � � ��c //��� <br /> City: �(_�( ��/l/ 1��� Zip: ��--�J�� Expiration Date: �� 3/ /7 <br /> Phone: ��-� - �,� '�' <br /> ���J� Alternate Phone: <br /> (� Insurance — Current: �z�( 1 11 Z�r'1S �Y1SCl►'Z��'k�'� /��l'�C'�I ��(�-��- � �:�� <br /> Page 1 <br />