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�p� City of Orono FOR CITY USE ONLY . <br /> O P.O. Box 66 Date Received: �`> l � �--' � <br /> 2750 Kelley Parkway ) " <br /> a ,� Crystal Bay, MN 55323 Permit#_ ( _(j i J --��, ; �_'--�f �� <br /> y�'� c? (952)249-4600—Main � <br /> AkfSH04'� (952)249-4616—Fax Approved By: l�i� <br /> Amount$: � � C �` <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 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: <br /> ❑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: /��b L c�. -c, � ��• t,� '"" <br /> � "z ( � �' Y G�. � �2, <br /> Owner. 1�c�U� I��� �'b 5 C�e ��� Mailing Address: <br /> city: b►�� � v zip: ���.s�� �S�`� �' <br /> Home Phone: `�SZ ��y��" �'� `I Alternate Phone: <br /> Contractor Information: <br /> ' n _� <br /> Contractor: j�;c'.L���-�- , �� ���w��;a�; Contact Person: �o- ��d�v�� <br /> �1 i �`G <br /> Address: � � � � �IA�d�,"�,�i' ��e S�t�"�tate Bond #: �,;��;-e,,�s� � �� " �jy� Z�' <br /> s <br /> City: _ ��d�� ,"h G �-a �^ Zip: ,�.���/ ZO Expiration Date: <br /> Phone: �5 �2 -�� � '.3�5 `,� Altemate Phone: ��!� �1 Z� �2 l �1�,Q�, <br /> � j�J <br /> � Insurance - Current: 1'��r�",C� <br /> Page 1 <br />