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' p City of Orono FOR CITY USE ONLY <br /> ,� , � NO P.O. Box 66 Date Received: _ —1 — -� <br /> ; 1 '� 2750 Kelley Parkway RECEIVED � � <br /> ,,� ,. 1 Crystal Bay, MN 55323 Permit# � l�v�-���'7� <br /> y��q QEc,�% (952j 249-4600—Main 3 7(�1� A p p r o v e d B y: �J �� � <br /> Ktsr+o 952 249-4616—Fax �11,�� 1 <br /> Amount$: <br /> CITY O� U��-?NU <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 plumbqlanrevapp.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 aqproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: ?J��� ���'�'61�Y1 �.. <br /> Owner:�/I UNVI �/V�1� Mailing Address: ?�0� t�CU�/J�Y1 (2�� <br /> City: b�Y1D zip: �5�� <br /> Home Phone: ��Z- �� �J� b01�� Alternate Phone: <br /> Contractor Information: <br /> Contractor: YY��'D ��jQQ'��, Contact Person: 1��� <br /> _J <br /> Address 1a1� �1���t �Q-D�. State Bond #: ���Q�?��,I,QZj <br /> City: ��'1/�G�. Zip: Expiration Date: �� <br /> Phone: ��� ' ��J�' ���7 Alternate Phone: <br /> ❑ Insurance - Current: <br /> Page 1 <br />