02/28/2012 19:47 FAX 76�4775629 . 007/009
<br /> , .
<br /> � ,
<br /> y�;:�:'3�'���!ti:yir,��•' � .i�!;��+'�X'..
<br /> ' �y 'ty of Ornno ��,,:;,�;�,�;K•-x:�*�R::A„;a;.:��;�;;�;;�;�.........:........:
<br /> `���:•.:.,; :�, ,y,�,�i,�,,..:.•,.�_;�:�,.•. ;••�.::��•�� :
<br /> � .U.Box 66 , ..;���• ;r::.,:,.'r ,
<br /> �!ili'`ti"'k'�Y�yEii1""�,'n�'i:t•:�:
<br /> •i r�n•• ,y;�h n.�.,r,�:�a.u.i fl�IS .w.HAIJiNw:A'AM.�.^..� '.1
<br /> 730 Kelley Packway ,;.f�.,r�•�„�, ti�.i. ,. .. ��;-•:•;,,.....:,a.�:;.,.;...;..
<br /> •f�;.��i,•,. ,:����;,;•�;: w
<br /> .�?' tslBaY.MN55323 'r,��...,"�Yi.�,'+.;w,�,•r• •.M4:�fr:�',�;�y.•,.
<br /> .....;,...,
<br /> ,,,,......,
<br /> 952)249�600—Mau� ,,..•:rs�� •�.a,��;<�•.�.4'�i:�ililda�"'� �" ,".,., '.
<br /> sa)2a9�6i6-rex
<br /> I CITY OF ORONO-P�UMBING PERMIT
<br /> (All Coc�lmercial Permits Mast be Approved by tlte St�te Prio�to Ciiy Appmval
<br /> tt :/hvww.dli.mn. /CC�.D/I'U�'/ lumb 'lan evu . df
<br /> ............ .... ..:..... . . ,. ,.., ., .. .... .
<br /> ., . •, ,. .�� � ..�....,.• ,;•,:.. .•. ...
<br /> .. . �,,
<br /> •� . �., .,.. . : :.:..,...�. • ... i;; .t,.:;•. ..
<br /> .� f 1: :::.•�. .::.:.v� �,� � 1 . • h`•'`'�•:�:: •
<br /> � ���.r��...,���'....
<br /> • : : .. rc. . �. �.�..�x�¢�r.•i�l W �1 1��niy� . _ ....e:::•�:�.� i��.ly.....'�. ...� .;
<br /> ...�..� '''••� ..i•. �..'
<br /> 1. •You may apply for plumbing permits by mail oc iq person at the City o1�Fices. Appli ' will b�
<br /> reviewe�and a perinit will be issued wi[hi�tvro working days.
<br /> 2. Petmit cdt+ds will be seat by roNm mail after a review is complcted. PERMIT5 A RB NO
<br /> VALID Tll.YOU RECETVE A PERMIT. WO US B
<br /> P��M �CARD i5 POSTED ON THE JOB 61TE.
<br /> 3. Plumbin�peRnits may be issued ONLY to licensed pliunbing oontractors and tc�properly wncrs
<br /> rosidi�g the dwellins.
<br /> 4. When an new coastrueUon or remodeling is imolvcd,a separate building permit must bo
<br /> , � , . .„ . _. ... :obtaiacd�,_,.���
<br /> S. AII work must be done in accordance with State Code rcquir�ments.
<br /> 6. All workImust be inspeeted and air tested before it is covemed. Call(9S2)249-4600.
<br /> (24-48 hbur notke rcqai�
<br /> . . �..i��.�..t'.'��. .i..�:i.f'�..1 i..i��:'� �.u:%� .: .. .��.�.�.�!'14.i' ��,y,'�'�.' �
<br /> .
<br /> �.��.
<br /> '�(: '�14'�v r.• •�:11'
<br /> . ,.•... . .�.... i.. !{ .�I: tid�ti"�.N,.Ni�... . �A; ,i.�d.,�,;� r.:i'��;..1 •.
<br /> � .. .. .�..: ..........:.. �•.^.'": (' :°.4•i� j. t "l�lr' P�'1�.. �,..;..
<br /> • . ...•.. .�,.i;.:1::C;�:?'•':;:1;^!'q�{''•"'�'.'i:�����"�i'r��'�'�" �'.��.M'l�'i' )�,;�,'`°i': �����r.. :L:i:� ..i.Y' ,
<br /> . .. •.....,:.:...�,::,;J,;::..,. •• . .•.• - ,��N•�� '' ' •'
<br /> .•. . .. . ..��ra�sc;i:�."�:'.�:.�t ��;a,i;:�'�•`::... �:
<br /> •, . •....,.,.., ,;;;,,;,,,,,,,;,,,,, ���:,�,•�,:,,�f�,:�.,,,;,.;�"f , . � � �,�'�a'.�, , 1 •�.;�.,�:; •;.,;.
<br /> ;
<br /> , �:
<br /> • . �... �Z .. ., ,����•; � �;� �,
<br /> �....:... .......::�.:f.:.n�'i•✓ti�'�.....�.�d�,�d�NIU.r1 � ����!.1 .� � dl .:� �If�.�).: :�P•�
<br /> �Residential ❑Commercial(Approval Required)
<br /> ❑New ❑AddiUonal [] Repairs ❑Rcplaee
<br /> ❑ in Accessoq Structure?
<br /> "You '1 n e � a �ena may need "c�p,(Pcr Otono City Codc,Chapte�78,Arti le 1V)
<br /> . , . .. ........:...' ,.. � .
<br /> . .�. �:
<br /> .. . .�,� M t; ;. .
<br /> .•�0�'���:�}�: ., ,:. .._ ,_,,.l�p";�,,,i`:�'Yfsi�';`.`i���,
<br /> . • . . .�
<br /> ��� •:
<br /> ...."•:.: ;;,
<br /> .. . ..,, • . ..;�� , , ,..
<br /> Site Address: I 0 �
<br /> 0��: I' Mailing Addr�ss:
<br /> .
<br /> City: � Zip:
<br /> Home Phone: Alternate Phone:
<br /> 4:.........i y. ,, ��. .. _�.:n d ���a. � :�y',.; .M1;"hH:�14.
<br /> .: . .., :.: �� .. ' i.(u� fl..
<br /> . �.:: � .
<br /> . .,.. . �,� •d:�f 'lr++F!, � �,• P'��i L{•;."
<br /> ' '��.'���� �":'%x"�'�;: •c,c' •.a.� ,4's
<br /> �,�... . •,......,,�.�,...••••„,�. ,,�.......� ... � •:. .,•.•,.
<br /> Contractor: '= Contact Person: yu
<br /> Address: I�U d a o�.._ Stat�Bond#:
<br /> City: Zip: ��Expiration Date: / ' �'��
<br /> Phone: ��7���a� Altemate Phone: ' " ,'7
<br /> _�/� lnsurance—Cutrent:
<br /> 1
<br />
|