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�p� City of Orono FOR CITY USE ONLY � <br /> O P.O. Box 66 Date Received: � -U ��w <br /> 2750 Kelley Parkway , � �,�, �1��� <br /> � C ry s t a l B a y, M N 5 5 3 2 3 Permit# �G��(i <br /> ti � r? „ <br /> F�q �c> (952)249-4600—Main Approved By: .'"�_�',,� <br /> kesHo� (952) 249-4616—Fax � .. , <br /> Amount$: � . � `_> <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dii.mn.gov/CCLD/PDF/pe plumbpianrevapp.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 /> ❑ 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: 13 .S� �-vC-� L��'F-� 2���a� ✓�c�1�,,�ia�� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> �.- .�'t�- �, <br /> Contractor: � ������- ���"'�'�'�J �'"'�- Contact Person: ���-- <br /> Address: ��Z`�� �'�l''`�' �� � State Bond #: ��- ��� � (� � <br /> City: ��`�'''��� � ��� Zip: S S 3 � L Expiration Date: <br /> Phone: � ��-� Z Z� �`���'� Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />