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�p� City of Orono FOR CITY USE ONLY <br /> r O P.O. Box 66 Date Received: c ; i:x j � <br /> � 2750 Kelley Parkway '�V <br /> a �. Crystal Bay, MN 55323 Permit# ��-,(,%� � -" ��-^` � <br /> yF o` (952)249-4600-Main t� (� <br /> �"'KfSH�4'� (952)249-4616-Fax Approved By: �,�,-�,a <br /> Amount$: � � `� `I <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.qovlCCLD/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 /> [�(�. Residential ❑ Commercial (Approval Required) [Backflow Device: <br /> ❑Ava ❑Pvs� <br /> ❑ New ❑ Additional ❑ Repairs �Re lace <br /> p <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: l�C� � Cvx �f��1�1 � � o���� � M N SS�S (� <br /> Owner.�61-1 N �('�L►�-C�I'7� Mailing Address: 1 c�o.� C�C �A 6zM � <br /> city: a��o zip: 553 5 6 <br /> Home Phone: � ►2 "1�(�l � Z� �7 Alternate Phone: 6 �2 7� o "Z�z�f� <br /> Contractor Information: <br /> Contractor: Contact Person: <br /> Address: State Bond #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />