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- 4p� City of Orono <br /> FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Pemtit#; <br /> y��1kfSH04�'G� (952)249-4600_Main Approved By: <br /> ( ) 9-4616 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://www.dli.mn.aov/CCLD/PDF/qe plumbalanrevaqa adf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offlces. 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 pfumbing 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 /> (Z4-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> �I New ❑Additional ❑ Repairs <br /> ❑ Replace <br /> ❑ In Accessory Structure? <br /> "You will need orior a�aroval and may need CUP. (Per Orono City Code, Chapter 78, Article I� <br /> Job Site/Owner Infdrmatior�: <br /> SiteAddress:_ l��� ��J21/'��CJ G o l����--� <br /> Owner:�Cf�--/ �7���t�� Mailing Address: <br /> CitY�'���� Zip: <br /> Home Phone: Alternate Phone: <br /> Contrac#or Inforrnation: <br /> Contractor: �"�V�K p/UM6�� �G Contact Person: �uk 1 �c�/�I-� <br /> Address: yS� G rrT,/� /D State Bond #: <br /> City: �,cJ�1 �� I d�/' <br /> Zip: �s3� V Expiration Date: <br /> Phone: ��.2-q�� � �� 3� Alternate Phone: <br /> ❑ Insurance— Current: <br /> Page 1 <br />