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02/06/2017 10:36 FAX 9529335049 CULLIGAN ffiNTKA �j002
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<br /> City of Orono FOR CITY.USE.ONIY<.,_,..�::.;,°. .
<br /> �'�� o.Box 66 Datg:Received: _ _ ' _
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<br /> 0 K Ile Parkwa _ - - - �'��;�`
<br /> 275 e y Y per,�nit,�#.��':� - -
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<br /> C stal Bay MN 55323 ,:w F:;r::<...;; .,;- - - -
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<br /> � -� 952 249-4600-Main A�proVed,B,y;:
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<br /> 0 952 249-4616 Fax ��,-_-. ,::,.:,�� : -;'�'; " ::..
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<br /> FSH .�= 5� ^'�._:�+-::��':�::.:i�.. '.�a��� .r.' .. ..
<br /> �Amount: <.>.,:..=;.:r:::�: �i,.�a.�w;:,��:,;
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<br /> C1TY OF ORONO—PLUMBING PERMIT
<br /> (All Commercial Permits Must be Approved by the State Pnor to City Approval) ,
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<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 retum mail after a review is completed. PERMITS ARE NOT VALID
<br /> UNTIL YOU RECEIVE A PERM17. WORK MUST NOT BEGIN UNT1L THE PERMl7 CARD IS
<br /> POS7ED 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 construcfion or remodeling is involved,a separate huiiding permit must be obtained.
<br /> 5. All work must be done in accordance with State Code requi�ements.
<br /> 6. A11 work must be inspected and air tested before it is covered. Ca11 (952)249-4600.
<br /> (24-48 hour notice requtred)
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<br /> ,Y:.:.PE:O;��PERM(T,(. PP.
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<br /> �Residential ❑ Commercial (Approval Required) (BackflowDevice:0 AVB ❑PVB]
<br /> �New ❑Additional ❑ Repairs ❑ Rep(ace
<br /> ❑ In Accessory Structure?
<br /> *You wilt need �rior aq�roval and may need CUP. (Per Orono City Code, Chapter 78,Articie I�
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<br /> SiteAddress: .� S'"1 S �� �� �0.�
<br /> Owner:_`�T�.s�r��,.,, �`���-�$ Mailing Address:
<br /> City: Zip:
<br /> Home Phone: Alternate Phone: 61 a - b g5 - 3�$��
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<br /> Contractor. ,etl�[ I I[��AI 1A1ATCo ,:t�8ntact Person:
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<br /> soso cui����N w�v
<br /> Address: �Il�l�r��rnyke p.�,_.��,�� State Bond#:
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<br /> ����� �'�a�7��� Zi Expiration Date:
<br /> City: p�
<br /> Phone: Alternate Phvne:
<br /> ❑ Insurance—Current:
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