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;��p^, City of Orono FOR CITY USE ONLY <br /> / \, P.O. Box 66 Date Received: 1 —/ �— C�i � 7 <br /> '� i 2750 Kelley Parkway � �� <br /> � -�� ,. Crystal Bay, MN 55323 Permit# � � — (� [` / � <br /> (952)249-4600—Main 2 � <br /> Y��'kFSH���```� ' (952)249-4616—Fax ApproVed By: � <br /> --- � `;_� !J <br /> Amount$: ��/ � <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 finro 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:� �U S C�Sc�� �� ���� �� <br /> Owner: �a��5 �`� 5� � Mailing Address: ��'`�� C`�s<<� �a;�.� �� <br /> City: �r«i>6 Zip: <br /> Home Phone: Alternate Phone: ���� �3�` -/ �'�S` <br /> Contractor Informatian: <br /> Contractor: (< t�/ u� ����; �'o Contact Person: f2a ss ,/'�l���,� <br /> Address: `��� S^ � ✓�l��y� Lh State Bond #: � (�Sz2 9� <br /> City: /�l"/���� �rC� � Zip: 5 S 3� � Expiration Date: <br /> Phone: 7� 3 - ��S- � 3�` 7 Alternate Phone: <br /> ❑ Insurance— Current: <br /> Page 1 <br />