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08/14/2012 21 :34 FAX 7634775629 1�002/007 <br /> � , -P--' , <br /> :, ,�.,,., � <br /> '�i'�d'>"' <br /> �'jf:�F1'� 1�1 r.�..!.t!-. ' ,.. .' <br /> O �,��.l��:a,;:�nY!:"w,u:aiF. ,� . �R;.,.r.•••;;y,;•i ::5 <br /> � City of Orono ::,�:a:�:r;�: r :•: { . :;`•�' ��' ' " • •'' (�/� <br /> 4 P.O.Box GG , M �l�, flNl,•:.:�,••,,y::�.� .'�K!:": .; • Od � / c.i <br /> ���.<<"!..l:� a,�.. 1. •:i.:..! a <br /> 275o Kell eurkwr .�r.�:�:Y:•.;,::.; c� � >:::.•.::....;.. _.,,.,,,. •� /q,/� <br /> � Y ,. � d1��.1�1h�N.'�'r:��':.i�r !.,,:9�. r.:::: <br /> �C: Crysl�1 liay.MN 55327 � . ?�;s.i�!�:::�::::•::,'•::":�!'.�VNiI't�::�•r�":•'� C/CJ <br /> �• :�rT . � 1 �:�.T7^Tr u,^^.^A...., ... <br /> (952)249-4600—Main ��,:��iL'����q�,:,:,���.. .,.,�.., :,.�r.::;�,._....��.:•;•'�: <br /> (952)249�616—Fmc <br /> CITY OF ORONO—PLUNBING PERMIT <br /> (All ommercial Permit�Must be Approved by thc State Prior to City/lpproval)� <br /> htt • fwww.dli.mn. ov/G'CLDIPUr/ c wnb 1 �r . df <br /> ■/.1�y� ���n{,� .. ........ ........ ,.,, , . .���,,::•.:�.;;., .. <br /> ... <br /> ••aY��F,+ 1 1 .��,',,���,,,... 1 i�<LI�A��.�.:�£���:�1�`��:u'����:(���'n.•• 4':i::..I:I'n�•.�,!:^.'. '�' 1.���.• <br /> '(.:� <br /> .f:�. .�.. <br /> l. You may apply for plumbing pennits by mail or in person at tho Cily offices. Applications ill b� <br /> r�vi wed s�nd a permit will be issucd within two working days_ <br /> 2. Pe it cards will bt senl by�+etum mail after a reYvicw is complated. PE:itMiTS ARE NOT <br /> V ID UNTll.YQU RECENE A PERMIT. WO M 1. N .Tr� <br /> '1' .A TS S T E. . <br /> 3. Plu bing pesmits may be issued QNLY to licenscxi plumbing contiactors and to property o, ers , <br /> resi ing in the dwelling. <br /> 4. Wh any new coIIstructipn or remodeliug is involved,a separate building ptnnit must be <br />,, � ob ed. . _. . .._ . _ , . . _ . <br /> 5. All ark magt be donc in accordance with State Codc requirements. <br /> 6. All ork must be inspected and air tested bcfore it is covered. Call(952)249-4600. <br /> (2 8 hour notice requircd) <br /> .. .....••:...�.,.:,• .• •�'•'�,.... .'."7 ��.�..,. <br /> • � S 'I�t. >..�. • . ;.., . <br /> , . .. . . .. ...�..:: "�::•:�?��� :.i�• '� :�i•:�:n�r.:y�'�"��lf•�:::�...;..5. ..,�i.��' <br /> , .... , ..... ..�.i.i'..u: • . • ••' . <br /> . ... .. .•......,.�..:.. iai•r. '!�� '� '�.�!nti•'.`'}.�i��. ...•. .•' � • � <br /> • . . .. . ......•�.. �.��,r .•...�. �n'i•�•••�; • j•:•' �i•. <br /> . . . . . .. . . ,. ..,�.�i:%�i.'....� Y.���. rji��u �lti:lr: .hd}���i��.•. ••.�h•-3��� <br /> . . �... •..•.....�;:. , ... •.:...�d":A�[';�J: <br /> . . :.•.....:".:�.,i'.�.�.; �;�n:.l,•ir�r,..�:�.�4r �.'.:,.,..� . <br /> i, <br /> . . . .y,�,. :,��,..��'�� �,�'�i�•f '�;:;.5 ' <br /> � <br /> L��.,� . , <br /> �1.��.. <br /> ,. •....r.. .� �.. <br /> '' ' ?, � " �Y}o;�'rl <br /> . . '' • i:•. ' x:•." • <br /> �.x.: <br /> Rcsidcn ial ❑Commcrc;ial(Approval Requircd) <br /> � � <br /> �New ❑ Additional ❑Repai� ❑Replace <br /> Q !n Acce sory S�ucture? <br /> "'Y�u '1 � r s roval and may need�.(Per Orono Ciry Codc,Chapter 78,Artic 1V) <br /> :., . . ,;,,,,.,,.;::-•,:.� • .,.:� <br /> r�����: � r�;. � .,;�,�;_.,.,�,�.,.,�,�::.:;:._:;; <br /> '���� e;:';,•;�;, ,.,>,,.,�,.�;;�.,�,.,�•,;;•�` . � �✓ <br /> Site Addre s: <br /> ��� l� � ��� � <br /> � <br /> Owner: i ^RI9� � Mailing Address: <br /> Ciry: zip: <br /> 1 fome pho e: AlternAte 1'hone: <br /> . . ... <br /> i ,... <br /> .. . . . .... .. .. ,,. �:...>.. , <br /> , .. ... <br /> :. .....:.., <br /> . . �,,. ... ...:. . �:���� <br /> .. ,., . <br /> ....,....,.. <br /> ,� <br /> ��brrtr�r.� �!'!� i�.,,......::,�:,,;:,,��,�;.�,,,,,,,,,,,;;;;�;. <br /> . <br /> .... ....�, .. ... ....,.. <br /> Contractor. ( . ���ontact Person: •y ��' <br /> Address: �G�i �a � Sta�e Bond#: . <br /> /� � r ,� <br /> �ity: (.�J'� t7 Zip;� �Expuration Date: ��� . <br /> �;Q � <br /> Phone: ���1 S���D�L� Alternate Phone: ! � � <br /> � Insurance--Current: �� <br /> I �� <br /> � <br />