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• City of Orono FOR CITY USE ONLY <br /> �NO P.O. Box 66 Date Received: ` �/� <br /> 2750 Kelley Parkway Permit# ' ��'� ��� � <br /> y �. Crystal Bay, MN 55323 <br /> F�� �c.` (952)249-4600—Main A roved B <br /> kfsHc�� (952)249-4616—Fax pp Y' <br /> Amount$: t�� <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: ❑AVB ❑PVB] <br /> „ � <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 /> Jab Site / Owner Information: <br /> Site Address:"l�� S G�/i�'P��,° Gl�(��� <br /> Owner: � t � Cp��,i G v`, Mailing Address: 13 GJ G �i f I`�U/C�, � � <br /> c��,: (��OY�-0 z�p: � '�J 3,5 � <br /> Home Phone: i17���X7b� 0�� � Alternate Phone: <br /> Contractor lnformation: <br /> ° S'i"evPi I'�i Co tA! <br /> Contractor?G��'7 ✓c t �wWl6�n Contact Person: <br /> Address:��gb- g �GS� 41a�1`�Q'� g�U�tate Bond #: TC(9��� � � <br /> City: (�C� �(/ Zip: �73 � Expiration Date: I� 3� �iy <br /> Phone: ' l �3 � D � /� Alternate Phone: <br /> ,�Insurance — Current: <br /> � e <br /> Page 1 <br />