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� <br /> � Cit of Orono F'`k FOR CITY E ONLY <br />., ; ���NO\`'�. P.O Box 66 Date Received: ����'r/ � <br /> ', 2750 Kelley Parkway <br /> I, ,�' ' Crystal Bay, MN 55323 0�• �° �� ��1 Permit# D ! �o—' �l�� <br /> �,'*��I �%� (952)249-4600—Main pproved By. � <br /> �`:'�'��r{�,a`:! (952)249-4616—Fax � <br /> _ CI�Y OF ORO 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/PDFIpe plumbpianrevapp.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 /> Q�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> 1`J' �t`o�a.�'t KJ'�-T-v_ �to�k't� <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: 21`� �-�• ��. -c. �' �•�► �o.�� '�' <br /> Owner: �c..�c �c1 l��-c� Mailing Address: �4r»t- �ti S. �t <br /> City: �o. a,.a.�F� Zip: S 53�1 t <br /> Home Phone: Co l2- S`t 5' l25�v Alternate Phone: <br /> Contractor Information: <br /> Contractor: �-��Sf��lv1, ka� I�t���1�,, :�/ Contact Person: ���k- �o« �so,.� <br /> Address: (Q S� \ l..o, ��► �S State Bond #: �(� � �� 5�� / <br /> City: �«�-�� �•S � Zip: SS3 L`� Expiration Date: (���j l � <br /> Phone: �SZ.- �'l'l 2-�{ 5 S`� Alternate Phone: <br /> -�Tnsurance - Current: �u, �-O C� �:� ✓i�r S <br /> Page 1 <br />