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�/�pN�� City of Orono FOR CITY USE ONLY <br /> O �', P.O. Box 66 Date Received: ��i� � � l� , <br /> `', 2750 Kelley Parkway n'I (� <br /> ' � Crystal Bay, MN 55323 Permit# �.(, (� '� � C `/ `I /J <br /> I�, ,� > <br /> `f �tc,� (952)249-4600—Main Appfoved By: T, � <br /> t�1�EJH� (952)249-4616—Fax �,- <br /> Amount$: ! -�� <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 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 /> � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <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:2�"l ICJ k�l�,1,�1 �V�. (� I�VI� �'�� ��?�'� � <br /> n � <br /> Owner: ��,1,�1�� ���"1�,��� Mailing Address 2-1 �1.� {��.�11(�1 �, <br /> City: L�k-Gti'1� Zip: `'�'r�'� I <br /> Home Phone: � U�2" Z��'L�� �1�-�1 �S� Alternate Phone: <br /> Contractor Information: <br /> Contractor: �`', �1 * � , Contact Person: �(���� <br /> Address �- �� �11t\.� State Bond #: _��l��a�1�11��� <br /> City: �1�,�V1�'L Zip: `�'-��-����1 Expiration Date: ?�� <br /> '�.' ; l !'��I <br /> Phone: ;�_- '"; n���� � � Alternate Phone: <br /> ❑ Insurance - Current: <br /> Page 1 <br />