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, � <br /> %'�p����� City of Orono FOR CITY SE NLY <br /> 4 �°, P.O. Box 66 Date Received: � i a /b <br /> -�i ; 2750 Kelley Parkway _�i (�� <br /> 1, Crystal Bay, MN 55323 Permit# /� � T f <br /> `•'�,\,.� �� (952)249-4600-Main A roved B : <br /> `.-�kt'sr��"`� (952)249-4616-Fax PP Y � ,.� <br /> Amount$: /Jr�Oi <br /> � <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:/lwww.dli.mn.aov/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 /> V�11Residential ❑ Commercial (Approval Required) [Backflow De�;ce: ❑AVB ❑ PVB] <br /> �,� <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: �o��� .1�� C��,YLSO rl � <br /> Owner: z�h►'�C�-�r Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �--�YSOn t'�U�Mb; rG �r�C Contact Person: <br /> Address: ���� ��9�'� ��'1 �(11�i State Bond #: �����Y � <br /> City: ���(`�,Y� Zip: 1nr��'1 Expiration Date: <br /> Phone:�l�3-�') �1'��9g0 �- � Alternate Phone: <br /> � Insurance - Current: <br /> Page 1 <br />