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` R���IVED <br /> ,�,`p� City of Orono FOR E Y <br /> � 1 27b0 Kelley Parkway MAY 2 2 201 i o�te Rece�ved: <br /> t y ��, f Crystal Bay, MN 55323 P����# � �,�`�v�� <br /> +� �` (952)249-4600—Main ' <br /> �''k�sxo'��' (952)249�3616—Fax ��N OF�R��� '�PProved By: <br /> Amount$: <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to Ciry Approval) <br /> http://www.dli.mn.qov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GE�I;ERAL INFORMATiQN <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 QF 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: � <br /> Owner: ailing Address: �l/%_1���� (.�1.� � ,�/1 <br /> c�ty:i%�r����'� z�p: �3� <br /> Home Phone: �1��Y�'��� Alternate Phone: <br /> Contractc�r lnft�rmation: <br /> . <br /> Contractor� ontact Person: <br /> Address: �1 �� State Bond #: � I <br /> City: . /��� Zip: ��`� Expiration Date: � /7 <br /> Phone: ���'"���---��d� Alternate Phone: <br /> �Insurance —Current: <br /> Page 1 <br />