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05/16/2017 07:54 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> � City of Orono FOR CITY SE ONLY; <br /> � �O P.O. Box 66 Date,ReceiVed. <br /> 2750 Ke11ey Par�Cway Permit# �G � 1��b�—'–"" <br /> , �, Crystal Bay,MN 55323 ,: <br /> fi G (952)249-4600–Main Approved B.y <br /> .�- � <br /> �'/KFsxva`' (952)249-4616—Fax y�":� '� <br /> Amount$ "� <br /> CiTY OF ORONO—PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt :1lwww.dli.mn. ovlCCLDlPDF! e lumh lanreva . df <br /> GENERAL INF�RMATION ` '; , > <br /> 1, You may apply for plumbing permits by mail or in person at the City off'tces. 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 RECE(VE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD 1S <br /> POSTED ON THE JOB S1TE. p P owners <br /> 3. Plumbing permits may be issued ONLY to iicensed plumbing contractors and to ro erty <br /> residing in the dwe(ling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. Ali work must be done in accordance with State Code reqttirements. <br /> 6. All work must be inspected and air tested before it is coverecf. Call (952)249-4600. <br /> (24-48 hour notice required) <br /> ` ' TYPE OF'PERMIT(Check AII That ApP�Y) '` � <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device:[]AVB ❑PVB} <br /> � New ❑ Additionaf ❑ Repairs ❑ Replace <br /> ❑ 1n Accessory Structure? <br /> *You witl need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article I� <br /> Job'Si#e I Qwrier:lnformat�on: <br /> � <br /> Site Address: 1�1� �0��5��� �`��� 1 <br /> Owner:_Q��� �o r c� Mailing Address: <br /> City: <br /> Z;p. 55 3 5 <br /> Home Phone: _^lb 3 � 559 - �3`�g Alternate Phone: <br /> , , ; -_ <br /> Confracto.r.lnformation:" <br /> Contractor: ��tact Person: <br /> 6030 CULLiCA�! 1iVAY <br /> Address; , �r,anr�-rc�n��n, ���*+ �����—State Bond #: <br /> (A�2� �3�-�200 <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ lnsurance —Current: <br /> Page 9 <br />