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0�/14/2016 08:57 FA� 9529�35049 CULLIGAN MNTKA C�002 <br /> , <br /> FOTi CTTY U5F,pNLY <br /> p� City of Orono �/I/ �� �'7�l' <br /> r �� �Q P,O,Box 66 Daie lteceived: ��7 7 �Permit# �/� ��(% /�5 <br /> a�,;,,,� 2750 h,elley Parkwuy <br /> �� ,�'��'�� � C ry s ta l B a y,M N 5 5 3 2 3 A p p r o v e d B y: �Z� A m o u n[S: '�J`Z . a <br /> '�'�%r,��o (952)2q9-4600 <br /> �Kd��' <br /> ��� <br /> C1�TX OF ORONQ–�LU117BING P��.2MZT <br /> (All Commercisl permiu must be approvcd by the Building OfFicial or Inspector) <br /> G�NERAL INFOl�MATION <br /> 1. You may apply for p�umbing permits hy mail or in person at the Ciry offices. Applications rvill be <br /> reviewed and s pem�it will be issucd within iwo working days_ <br /> 2. Permit cards will Be sent by retum mail after a review is completed. FERMITS ARE NOT <br /> VALID LJNTIL'Y'OU RECEIV�A p�RMIT. WORK MY15T NOT BEGP.V YJ;�'�'IL THE <br /> ��RMIT CARD XS P05TED pN'r'H�JOB SITE. <br /> 3. Plumbin�permits may be issued ONLY to licensed pinmbing contractors and to properry owners <br /> residing in the dwelling. <br /> 4. When any new constructian or remodeIing is involved,a sepazate buiIding permit must be <br /> obtained. <br /> 5. All work must be done in accordance with State Cod�requirements. <br /> 6. All work must be inspected and air testcd before it is covered. Call(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF P�,RMIT <br /> (Check AIl That A, ] <br /> �Residential ❑ Commercial(Approval Requircd) <br /> ❑New ❑r�dditiona] ❑Repairs �Replace <br /> ❑ in Aceessory Structure? i <br /> *You wifl need riar a roWal and may nead CUP.(Pcr Orono Ciry Code,Chapter 78,Articic 1V) <br /> i <br /> J'ob Site/Owner Xz�formation: <br /> Site Address: �Q�� �0 v�nC, !.-.^i✓� I� <br /> � �; <br /> Owner: �•.1�e I o�a v� 1Vlailing�lddress; ; <br /> � <br /> CitS'� Zip: ��3 <br /> Horne Phone: �1 a -`I l 9 ��1�6$�F Alternate Phone: ' <br /> � <br /> Contractor Information: � <br /> , <br /> GU��.Q����yqT Contact person: <br /> 6030 CULLIGAN Wqy G � <br /> �f}�$�rpJ� State Borad#: � <br /> (952j 93�-720Q � <br /> �Ih'� — Zip: �xpiration Date: � <br /> Phone: Alternate Fhone: : <br /> , <br /> [� Znsurance–Current: <br /> 1 ', <br />