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� RECEIVED <br /> �pN City of O�ono FQR IT S ONLY <br /> o P.o.B°"� JUN 2 9 2016 +aate R�ed:_��lo <br /> 2750 Kelley Parkway r., �,,.�t �'/�'�` <br /> � Crystal Bay,MN 55323 Penmit� ���f►� "'U v ,/tO�� <br /> y�, �' Phone:(952)249�600 � <br /> l�KESH�a`�` Fa�t: (952)249-4616 �i���F�R��� APi��$Y� .�.. . <br /> Amount� __ J� 4�—T <br /> CITY OF ORONO — IRRIGATION PERMIT <br /> PERMIT CODES: City of Orono, Minnesota State Piumbing Code <br /> Sprinkler/Residential/�avm Sprinkler/Blank <br /> Sprinkler/Residential/Badcflo�ro Device Ony/Blank <br /> Job Site Address:__J�� �1�1 a�-�. � ('Y � 1 <br /> Owner: ��TC,�UVI�(�,-PI���,�'1 Telephone Number: <br /> Mailing Address: `) t� t'F'�Y1 G�.�1'�. �G� .,v � <br /> ��ty: � 2�- z�p: 55�� I <br /> � ` ✓ q - <br /> Sprmkler Contractor: �.� elephone Number �2 ��� lJ���� <br /> Contact Person: � License � � � \��.Q L"� ��� <br /> Mailing Address�.� ���� �� , �t rn � :, ��� <br /> WATER SUPPLY: Lake❑ Well❑ City❑ <br /> BACKFLOW DEVICE: AVB ❑ PVB� <br /> Make 1f� IJI�'L�_Model Year of Manufacture�"� "� Quantity <br /> INSTRUCTIONS Complete all items on this application. Incomplete applications will not be processed. If you <br /> have questions, call(952)249-4600. You will be notified by phone when the permit review is complete. <br /> GENERAL INFORMATION <br /> 1. You may apply for Irrigation System permits by mail(P.O. Box 66, Crystal Bay, MN 55323)or in person at <br /> the City offices(2750 Kelley Parkway). Submit plans for review with this application. <br /> 2. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 4. All work must be done in accordance with City and State Building Code requirements. <br /> Page 1 <br />