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p City of Orono FOR CITY USE ONLY <br /> -,� � '�O P.O. Box 66 Date Received: <br /> ` 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# <br /> yF�q �c` (952)249-4600—Main A roved B <br /> kfSH�4' (952)249-4616—Fax pp y' <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.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 /> ❑ New � Additional ❑ Repairs ❑ Replace <br /> u <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: 9 �� ��,►� � �Y�� <br /> Owner: Mailing Address: <br /> City: ��� ��'�� Zip: -�' � ���.�� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> - ;;�0 `.�.,�u,-- `'� � <br /> �� �G�'I,�f'ef- -� ,� rn,��� �G�'l�✓"��_ <br /> Contractor: - ontact Person: <br /> Address: ���� �{��� ��`� � L�� State Bond #: ��� ��� ��'3� <br /> City: �����, ��� � Zip: �� -��� Expiration Date: � ���O�B 7 <br /> Phone: �V �--'���� �� ���� � Alternate Phone: <br /> �Insurance — Current: ��' � ���v����o��n,� � �' ��� � ��� <br /> ; <br /> Page 1 <br />