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04/18/2017 08:35 FAX 9529335049 CULLIGAN MNTKA 1�002 <br /> City of Orono , ; FOR CI.TY U ON�Y <br /> ��'�o P.O. 6ox 66 Date Rece�ved �� �� / �— <br /> 2750 Keliey Parkway � r� <br /> ' -� Crystal Bay, MN 55323 Perm�t# � �"�� ��'� � <br /> � E„ (952)249-4600 Main Approved B.y <br /> `�KfSH�Q' (952)249-4616–Fax . .°;: <br /> Amount$ <br /> CITY OF ORONO— PLUMB{NG PERMfT <br /> (Afl Commercial Permits Must be Approved by the State Prior to City Approvaf) <br /> http•//www dli mn aov1CCLD/PDF/pe plumbptanrevapp,�df <br /> , <br /> ';GENERAL.INFORMATfON. ' . ` . <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Agplications wi11 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 /> UN71L YOU RECEIVE A PERMVT. WORK MUST NOT BEGIN UN71L TFlE 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 /> fi. All work must be inspected and air tested before it is covered. Ca1l (952)249-4600. <br /> (24-48 hour notice required} <br /> ; TYPE OF.;;PERMIT(CheckAll ThatApply) <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: �AVB ❑PVB] <br /> �New ❑ Additional ❑ Repairs ❑ Replace _ <br /> ❑ In Accessory Structure? <br /> "`You will need prior approvat and may need CUP. (Per Orono City Code, Chapter 78,Article I� <br /> Jab Site/ Owner!�nformation::: _ <br /> Site Address: �f � �� <br /> Owner: �a�� U �� _Mailing Address: <br /> City: Zip: <br /> Home Phone: , `�5 - y 7 � _ )y1-5 Alternate Phone: <br /> Contractor lnformation:` <br /> Contractor: � �o E +rnn� �n+q-��}� r�ll�.t���`�nN�N�ontact Person: <br /> 603L1 CU"t�1G/�,�!''�V�Y <br /> Address: State Bond #: <br /> {952) 333-7�00 <br /> City: Zip: Expiration Date: <br /> Phone: A{temate Phone: <br /> ❑ Insurance— Current: <br /> Page J <br />