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� ,i .. <br /> � <br /> ��f 0�. FOR CTTY USE ONLY <br /> :�,L,�� Y Orono <br /> � p I'.0.Box 66 Date Received: Pennit# <br /> 2750 Kelley Parkway <br /> '� �' ° � Cn'stal Ba,y,MN 55323 Approved By: Amount$: <br /> �'t'} , o` (952)249-4600—Main <br /> �k�xOa�% (9�'_)249-�616—Fax <br /> ��'�� �'�' Q'�Q%�T�—�TL.����`�r �'`+�s���� <br /> (All Commercial Permits l�lfars�be.Q.pproved by�he State Prior to City Approval) <br /> :/l�E�i,��-.si�.€�.�.�t�w/�'e::��r :t � ; � <br /> �. �,:�� �E�e� F�.aa�:•eE�€�z�.;��� <br /> GENERAL INFORMATION - <br /> l. You may apply for plumbing permits by mail or in person at the City o�ces. App]ications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. @A'O��C 1F�F�JS"F'hi0'Y'�3��d1V UlY'�'PL,"�"T�L <br /> PERMIT C,4.R�3 pS�QST�g9 ON TE-��.�OB SY'P'E. <br /> 3. Plumbing pern�its may be issued ONLY to licensed plumbin�contractors and to property owners <br /> ?-esidi!��in tl;e dwellin�. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and au tested before it is covered. Call(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT <br /> (Check All That A 1 � <br /> �Residential ❑Commercial(Approval Required) <br /> ❑New ❑Additional <br /> ❑Repairs ❑Replace <br /> ❑ In Accessory Structure? <br /> '�You�+�i11 need�rior anprova[and may need CL-P.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Infoi•ination: <br /> SiteAddress: ��� � ��rIG �l� <br /> Owner���� ,��{� Mailing Address: ��i�/� <br /> c�n: �.� 1� z�p: �G �.�1 � <br /> , Home Phone: ���1 I� � $� Alternate Phone: <br /> Contractor Information: <br /> Contractor: 1 I ontact Person: �'l1 ,S <br /> � <br /> � <br /> Address: ��� State Bond#: <br /> CItY� � �\�1 Zip���Expiration Date: <br /> Phone: � '`'J �^J' Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br /> 7' r <br />