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. �p� City of Orono FOR CITY USE LY <br /> , O P.O. Box 66 Date Received: /—/D '�� <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# a� ��' <br /> �F c` (952)249-4600-Main A roved B <br /> �'4kESHo��' (g52)249-4616-Fax pp y' ��.7 �� <br /> Amount$: <br /> CITY OF ORONO — PLUMBING PERI�IIT ' <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 ❑ 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: ��ti� �'o''`'`� �-�'�-��S /��-- <br /> Owner: �'���"'S Mailing Address: //z-'-- ��""` L^� /��c <br /> City: Q✓'°"��, Zip: S S 3 4. y <br /> Home Phone: ��Z ' ��°F -v�D � Alternate Phone: <br /> Contractor Information: <br /> Contractor:Nn,c,�Q�--z� s9 ��sS ��Kti�,_ Contact Person: ��ts�'J ��S� <br /> � <br /> Address: a G3 1+�tc1�:5�i�' ✓� State Bond #: / G �-y� O �� <br /> City: Vl�''� 5�+.� ��,�- Zip: s-r/ °9 Expiration Date: �1�3� �►'� <br /> Phone: CiS� "�fs2 " � ��� Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />