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1 <br /> � ''� FdR CIT'Y USE O!!'LY <br /> �,0�..�, �i�i3�oti'dr��o <br /> �'�j�` �� I',0.Box 66 <br /> DateReceived: Pennit,= <br /> ?7�0 I�elley Parkv,�a}� <br /> ': 7. '- Cn'stal Bay.N;��Sj323 <br /> :;„� } - : � � Approved B�c: Amount�: <br /> �ir_.',��,�. (y�_')249-4600–Main <br /> tsxo , (9��)?�9-�1G16–Fax <br /> ��T�i�J �� 'C�'�.QI�T� —I�I'I��TIF��LI�C� I�EI����� <br /> (All Commercial Permits ��s�be:4g�rQve� by t€�e�tate Prior io City Approval) <br /> , . - . <br /> .. „-':-: � .:ia.c�� : ��F't�.�..�rs'F�T'��'iilt, GE€:Fa:�.[r'1.��€;'� i�4';..�::i4 <br /> GENERAL INFORMATION <br /> 1. You ma��appl}� for plumbing perinits by mail or in person at the Cit��offices. Applications«�ill be <br /> reviewed and a permit��il]be issued within two workin�days. <br /> 2. Permit cards wiil be sent by return mail after a review is completed. PER1��1TS ARE NOT <br /> VALID U1vT1L YOU RECEI�'E A PERMIT. FT�'�RF�h'fLJS'�'�'�T'&E�F�?�T�'�IL'L'f�L <br /> �'�EZiC�F�T C,4.F�3 ES�'Q�S'�'�[�dT�I"�'��,�O�i�S�"�'�. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> ,-es;di;,^in t!�e a ' ' o <br /> � wz,l;n�. <br /> 4• �'heil any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. .All worl.must ue done in accordance with State Code requirements. <br /> 6. All work must be iilspected and air tested before it is covered. Cali(9�2)249-4600. <br /> (24-48 hou;no�ice reqsired) <br /> TYPE OF PERI��IT <br /> (Check All That Ap ly) � � <br /> �esidential ❑ Commercial(Approval Required) <br /> ��'��' ❑Additional <br /> ❑Repairs `�Replace <br /> ❑ In Accessory Structm�e? <br /> rYou wilP need prior anpro��$i and may need CliP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/O���ner Information: <br /> Site Address: �� � ���U��� ( (,� �,�- • <br /> � �.? <br /> Owner:���( ( cn�S Mailing Address: �s��J <br /> ���: �o z�p: 5 �3� � <br /> , � � / -} <br />, Home Phone: ��� �� � '� `� � � Alternate Phone: lP����o( ��' � �U� <br /> Contractor I�Iforil�ation: <br /> r"{ �y � , <br /> Contractor: � F 1 1�q�I,�Contact Person: �I( ; S <br /> Address: ��� �l � <br /> ����J �d " State Bo�zd#: <br /> J ��� <br /> City: � �l,l� Zip"��':�{�� Expiration Date: <br /> Phone: r � <br /> � �" �. � Alternate Fhone: <br /> ❑ Insurance-Current: <br /> 1 <br /> , ��! <br />