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;% �pti��, City of Orono FOR CITY U E ON Y l� <br /> i O �, P.O. Box 66 Date Received:_ �' ��P � � T <br /> I� `� 2750 Keiley Parkway <br /> Crystal Bay, MN 55323 Permit# 2��� �� � � � <br /> � Y�^ � ` � (952)249-4600—Main A roved B : �`� <br /> \�qAI}►{UR,v/ (952)249-4616—Fax pp Y <br /> Amount$: � • 2� <br /> CITY OF ORC?NO — 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 ar 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 requiredj <br /> TYPE OF PERMIT(Check All That Apply) � <br /> Residential ❑ Commercial (Approval Required) <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: :�t��� �((���' ._��C(� �6;,1�(— <br /> Owner:_ ��'�Lt;r,h �� ���-� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: c � l I (.� ' Contact Person: ,��1�� ' .��� �� <br /> Address: (;��(o?, �`� �-� �l�l(`� = State Band #: ��('L�'1�� <br /> City: 4� _ ���'I Zip: ��,��� Expiration Date: �„�� <br /> Phone: =1(�; �--��;;;�- �; �)��� Alternate Phone: <br /> [�Insurance — Current: ' � u '• <br /> / ' <br /> Page 1 <br />