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09/05/2012 13:20 FA% 9529335049 CULLIGAN �NTRA f�002 <br /> . , • <br /> F USE ONLY <br /> $b'� P:0 Box�roao ��� ���� �g� <br /> � O Daro Reccivo�� Pem�it <br /> 2750 Kelley Peiicwey <br /> � Crystal Hay,MN 55323 Approved By: Amount S:�_ <br /> ��� (952)�{9-4600 <br /> CTTY OF ORONO—PLUMBING PERMIT <br /> (All Commercial permitv must be approvad by�he Buitdmg Official or Inspector) <br /> GENERAL INFORMATION <br /> l. You may appty for plumbiag pe�mits by mail or in person at the City offices. Applications will be <br /> reviewed and a petmit will be issued witfiin two working days. <br /> 2. Permit cards wiU be sent by roturn mail after a review is completed. PERMITS ARE NOT <br /> VALm UNTII.YOU RECENE A PERMTf. }�VORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS 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 romodeling is involved,a seperate building permit must be <br /> obtained. <br /> � 5. All work must be done in accordance with Stste Code requirements. <br /> 6. All work must be inspeated and air tested before it is covered. Call(9S2)249-4600. <br /> (24-48 bour notice required) <br /> TYPE OF PERMIT <br /> Check All That 1 <br /> �Residential ❑Commercial(Approval Required) <br /> ❑New ❑Additional ❑Repairs �Raplace <br /> ❑ In Accessory Structure? � <br /> +You will aeed orior aooroval and may need CUP.(Per Orono City Code,Chapter 78,Article 1V) <br /> Job Site/Owner Information: <br /> Site Address: ay a5 (na►P� l..o►r�2__ <br /> Owner: �avt 1b�1�,�c,►r MailingAddress: <br /> City: Zip: .ss 351. <br /> Home Phone: b 1 Z.-�7 0 •�t a�.9 Alternate Phone: <br /> Contractor Information: <br /> ��t�ac�okN Contact Person: n► <br /> ��3 ' DITIOf�ING <br /> �030 CUILIGAN WAY State Bond#: <br /> Addr��NET , 45 <br /> �,C��: (952) 933-7200 Zip: Expiration Date: <br /> Phone: Atternate Phone: � -`��a-�3 I 7 <br /> ❑ Tnsurance—Current: <br /> 1 <br />