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�p� City of Orono FOR CITY�SE ONLY <br /> O P.O. Box 66 Date Received: _ ����-� —� <br /> 2750 Kelley Parkway � . <br /> Crystal Bay, MN 55323 Permit# ���'f � -- �;(����j� <br /> � �F�� �o` (952)249-4600-Main A roved B �Z K� <br /> kfSH04' (952)249-4616-Fax pp y� - <br /> Amount$: �' < <br /> �X� <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 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: <br /> ❑avB ❑PVB� <br /> New ❑ Additional ❑ Repairs <br /> ❑ 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 /> 7 /, <br /> Site Address ;� � f ,S ���>���/S ';� �(�evs �� . <br /> � � <br /> Owner���R2�� �:v� � Mailing Address: l � �'.5�� ��``��v, /� � <br /> _.:y ,^� <br /> City:�� C>�' � �G Z %2�� Zip: s .��`{7 � <br /> Home Phone: Alternate Phone: <br /> Contractor Informa#ion: , <br /> '� � � ' S �- Contact Person: �l/�'� i � <br /> Contractor� � ���zcc�1��-�J� � �n� <br /> �' z�► - � <br /> Address�d�,�7 / �� /1�- !(J�2-J State Bond #: <br /> -� <br /> City;���1 ��C���'�— i'��G'l�/ Zip:�� �n�-� Expiration Date: <br /> Phone: ��''� ���� `��"7 � Alternate Phonef�'2-- �2l 7����,.; <br /> ❑ Insurance — Current: <br /> Page 1 <br />