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�pr� City of Orono FOR CITY US ONLY <br /> O P.O. Box 66 Date Received: � �7 <br /> 2750 Kelley Parkway , / <br /> -� �. Crystal Bay, MN 55323 Permit# ,�- � � --- ` j ( � `�� <br /> y�� �` (952)249-4600—Main <br /> �kESH04'� (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 adf <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 /> 0 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New �Additional ❑ Repairs �eplace <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: 1�(5 ���fi� y�TTz ����G e� �T <br /> Owner: R lv/� � ��v-c� �„�yt f� Mailing Address: <br /> c�ty: L✓1y z�,r�ti z�p: s5 ��1 I <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ���<<�,v� ���w, h;'r�� ��,C Contact Person: <br /> Address: �I � �-�� h�Llc.,,,z; � C:.T �l/C� State Bond #: ��6�1,3`��� <br /> City: � � ✓� ,��,n,I Zip: ,�i� ��-� Expiration Date: ��- <br /> Phone: �E� �- ���l �- ' t`"��� Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />