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Z01z-Oa-1Z 06:56 UNITED HEATING&L4C 61z5ZZ656Z» +95lla9a6�6 P vZ <br /> � FOR CITY USE ONLY <br /> II ' � A, City ut Orono Da�e A�ecoi�cd, �— Permi.t.i� �— <br /> � '�'�`Y P.O.Bax 6G <br /> I 0 � 2750 Ke11eY PerkwaY AppiOveQ BY� �— '°'mount S' , <br /> ��� �:ryaml Day,MN 55;�23 <br /> (A5�)za9-a600—Main <br /> ��p (952)249-4616�Fnx <br /> CI�TY OF ORONO — PLU�VIBING PERMI T al <br /> (All Commercial PcrmiCs Must be Approved by tbe State Prior io City App ) <br /> htt : /www.dli.m�t. ovlCC�� 1 e lumh lanreva - df <br /> �GErr�L�'oRM:A,.TiaN , � <br /> �. you may apply for plum.biucag permits by rr�il or in person at the City o�ices. Applicetions will be <br /> reviewed and a permit will bc issucd�*rithin two working days• <br /> Z, Pcrmic cards wi.11 be sent bY return mail after a teview is complettd, P�KMIT5 ARE NOT <br /> VALID UNTxT,XOU RECEIVE A PERMIT. WORK MUST NOT IEGILrLCiLvTIY.THE <br /> p�RMIT TED ON THE O$S TE. <br /> 3. Plwn.bito.g pernuts may bc issued ONL�'to licensed plumbing contractors a�d t0 p[operry owncrs <br /> resadi.nB in the dwelling. <br /> a, When any new constru�tion or rcmodcling is involved,a aaparate building peX�1011T Ili7u9i be <br /> ob�ained. <br /> 5. A11 wOCk must bc dono in accordancc with Stute Code raquiremenu. <br /> 6. All work must be inspcct�d and air tcsted before it is eovered. Call(952)249-4600. <br /> (24-48 hour nvtice rec�uircd) <br /> TYPE OF PE��I'I'. ; � <br /> Check'Al1 That A 1 ' <br /> I �Residcntial ❑ Commacial(Approval ltoquacd) <br /> ❑New ❑Additional []Repairs �Replace <br /> ��urb�� <br /> ❑ in Acces;ory Structurc? ` <br /> "'�'ou will ueed�riur aaaroval and may aeed CUP. (Per Orono Ciry Code,Chepler 78,Article iV) <br /> Job Sitc/Ovvricr Tnfoxmataon: <br /> Sitc Address: y � � �� V� '?ys �'`'� f�V-� <br /> Owner:�V?c.h n t G� 01-� . Mailing,A,ddress_ ������ M�v <br /> c,ty: v r�.� � zip: �'S~3 � I <br /> Home Phone: �S � 3� `�l�/7 Alternate Phone; <br /> �Contractor Sn�oz�z�atiox�: <br /> Coz�cractox� �v� �� �� I��' �C�ntact Person: �� 6 ��s �� <br /> Address:`�� �� �5��r � �� State Son#: 0 �� � � � M <br /> �a 5��� � <br /> City: �� �C Z1p: Expiration Date: `�—3 j — a 0/ � <br /> Phone: � �3 �3`�1 � �`� � Altemate Phone; <br /> � Tnaurance—Current: �� (�2�.l <br /> 1 `�) � I <br />