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y � �p� City of Orono FOR CITY USE ONLY <br /> ' O P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystai Bay, MN 55323 Permit# <br /> � o� (952)249-4600—Main <br /> ���KFSHo�``` (952)249-4616—Fax Approved By: <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.�ov/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 finro 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 arior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site /Owner lnformation: <br /> Site Address: Zc� `-��V� �f�� <br /> Owner: Mailing Address: <br /> City: � r� /--�-��Q Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � ��-�� �r��� Contact Person: ���� <br /> Address: ��� ��� s`���SG�State Bond #: ��- ���J� <br /> City: 1�1�-� �c.1'�.(.� Zip: � Expiration Date: l a" ' �� <br /> Phone: �-�2 �a�� ���� Alternate Phone: <br /> �Insurance— Current: <br /> Page 1 <br />