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�Q� City of Orono FOR CiTY USE ONLY <br /> O P.O. Box 66 Date Received: U- � i <br /> - <br /> . 2750 Kelley Parkway '�—f � <br /> a > Crystal Bay, MN 55323 Permit# �{� �� -- �;�; �`J�_; <br /> ��"� o` (952)249-4600–Main <br /> "�KfSH04� (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.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 properry 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: ��� ���� //✓�"' <br /> Owner: Mailing Address: <br /> CitY: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �v���V` Contact P � ��'�� <br /> ers�n. <br /> Address: _ <br /> � �-I � ��� w� � �' State Bond #: <br /> /[ � - t� <br /> City: �`1`� �� Zip�5^�� ( Expiration Date: <br /> Phone: � �' 3 7S� 7 l �� � Alternate Phone: <br /> �Insurance — Current: <br /> Page 1 <br />