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p <br /> `� �p'� � City of Orono FOR GITY US�E�qO LY�,. _ <br /> O P.O.Box 66 Date Received: <br /> 2750 Kelley Parkway Permit# �•V f L��`!�(.� <br /> a �, Crystal Bay, MN 55323 <br /> y� o� (952)249-4600—Main ApprOVed B : <br /> ��kasHo�`` (952)249-4616—Fax <br /> Amount$: � � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:Nwww.dli.mn.ctov/CCLD/PDF/pe plumbqlanrevapp.pdf <br /> GENERAL IN�ORII�IATION <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 pe�rnits 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%Dwner In#ormation: <br /> Site Address: �33 1-�o��c,�� �d� <br /> Owner: J��^- �w^^� Mailing Address: 33� �"���� ��. <br /> City: c.J�.�Z�,� Zip: S S�3`� l <br /> Home Phone: �� � `��� $�Z Alternate Phone: 6� �`�� �U ► `{ ��e 11 � <br /> Contractor Information: ' <br /> Contractor: Jo� \�^� Contact Person: <br /> Address: 333 �w���.�' Ra State Bond #: — <br /> City: ��.�..� Zip: �$�` 1 Expiration Date: -- <br /> Phone: Alternate Phone: 6�Z �`�Z df�`( <br /> ❑ Insurance– Current: <br /> Page 1 <br />