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' �p� City of Orono FOR CI USE NLY <br /> O P.O. Box 66 Date Received: __��:��r/,7 <br /> 2750 Kelley Parkway � <br /> y > Crystal Bay, MN 55323 Permit# o� � �7 —��J/� <br /> �' c`�` (952)249-4600—Main <br /> �qkESH04�' (952)249-4616—Fax Approved By: <br /> Amount$: �� G/� <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: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs <br /> ❑ 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 /> / ^ \ �j �� �'r Q <br /> Site Address: - �l `� (_-iU r <br /> Owner: G��.�� �_���- J �e /�j Mailing Address: <br /> city: zip: �'S^ � �1 <br /> Home Phone: � S� ' � � � ��G� 3 Alternate Phone: <br /> Contractor Information: <br /> � � !(/�'�L�!%l � ��'-Q-✓��.1� <br /> Contractor: �� Contact Person: <br /> Address: �� �� � ��0� 5� _ '� State Bond #: _��- � �0 3 `� �' <br /> City: ���I� {����'�� Zip: S� d � � Expiration Date: �� .�1 I 7 <br /> � <br /> Phone: � �� � � � � � � U Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />