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�p� City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: /1_ - �� � -/b <br /> �� � 2750 Kelley Parkway -� r <br /> � Crystal Bay, MN 55323 <br /> Permit# �6 !� ._ �� / ��;�, <br /> z � <br /> c,` (952)249-4600—Main pp y. �L� <br /> �`'�KESHo4`` (952)249-4616—Fax A roved B <br /> Amount$: �� <br /> ? =� <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dii.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: ❑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 /> SiteAddress: -3 � � 5 L �� 0.�/�� �f' � �� � �� CUC� �`�' <br /> � <br /> Owner: 1� � V � d �� �'r Mailing Address: s °� �"'"`� <br /> City: � h G �c Zip: <br /> Home Phone: Alternate Phone: �2�� � $ �S — � 2 � �P <br /> Contractor Information: <br /> Contractor!J`�����h (S�l'`��ch Gati�{- Contact Person: `� ►e � GNc� 1� o h h J Sc;L� <br /> Address: �'��� C fiY �� i5 State Bond #: <br /> City: 1'��� C�t �1 � Zip: SS3 �' Expiration Date: ���� �p <br /> Phone: GI��' � 1�- �'� �1 S � Alternate Phone: � ��-�� '2-�- z� �� <br /> �Insurance — Current: �P`� �--� � � � C� �1 h �, r� <br /> Page 1 <br />