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��pN City of Orono FOR CITY USE ONLY <br /> } O P.O. Box 66 Date Received: Y��' / � 7 / � � <br /> 2750 Kelley Parkway --, :° �-- <br /> .�� _ Crystal Bay, MN 55323 Permit# � � ' � J ' C %C= I� _> <br /> ', ,� ,.`,;' (952)249-4600—Main A roved B !��/ . � <br /> �"ESN��"t-' (952)249-4616—Fax pP Y� <br /> __.- <br /> Amount$: r '�C ~�� <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: �S �����c.,� i'/�/Z�� <br /> Ownerl�,;.� %����,-� Mailing Address;�,��c.�Gc�. ��-nz,�-�- <br /> City:�,,�i—L•�; Zip: <br /> Home Phone: (Ol� � ��i.�- ,��3 Alternate Phone: <br /> Contractor Information: <br /> Contracto�•% 1 Contact Person: � <br /> Address:�i3��iLnh� /� State Bond #: ' ,�� ���7G'� <br /> City:� �G�� , /�/� Zip: ,��/U,� Expiration Date�� ` � <br /> Phone: �S�- ����� � Alternate Phone: �J /� .���/- �,3%� <br /> ❑ Insurance — Current: <br /> Page 1 <br />