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� �p�~� City of Orono R���IVED FOR CITY USE ONLY <br />, C? ; P.O. Box 66 Date Received: /f �-,� � /� <br /> i� ';� 2750 Kelley Parkway S ZO�6 �U✓�:� -�; / �'.� <br /> .� � ,= Crystal Bay, MN 55323 N�� 2 Permit# �� <br /> �� �;; (952)249-4600—Main Approved By: <br /> � `'�kESH�4�` (952)249-4616—Fax �TM�� <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 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 /> �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> � <br /> ❑ New ❑ Additional ❑ Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: o� � � � �� ��� <br /> Owner:�ob►�n S�-a`l nC�'l Mailing Address: ���t� �V�.���1 �E'� . <br /> City: YV Q��'7� Zip: �3�� <br /> Home Phone: l(��c� - 02��- 90��� Alternate Phone: <br /> Contractor Information: <br /> —� 1 <br /> Contractor: � Contact Person: I�.Q, � S Y� <br /> � i G_Y�CQ. n <br /> Address: � S State Bond #: �n`7�o� <br /> City��'1 l�� L.���Q_ Zip: �� o Expiration Date: �� �� 7 <br /> Phone: 7,�a- y�o�- S3 �� Alternate Phone: <br /> �Insurance - Current: � �" �f�X] <br />