07/18/2016 08:57 FAX 9529�a5049 CULLIGAN MNTKA �002
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<br /> ��� City of OronO �;i',:�° ;FOR, ,,�,',y S(�F�O L1�1�°���
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<br /> 2750 Ketley Parkway , , „ i �y!� ,� °',:��''��:���I �
<br /> ., � Crystal Bay,MN 55323 °Pe�'itlit#,:, ,;,��,,�;��„4�„�''i�:'i�',;j�,��,r�;�"�'��?:�'.,
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<br /> � c (952)249-4600 Main ' ;;li„ a,h.�,r'r';�'�';s!.,, , :',
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<br /> Esx (952)249-4616—Fax r�l;:, ,..�,��,�,�,:����,,,.�.,��„ ,u1: �.,',���;. :"I'� .'.',��;i,ri�;,,;i�;'
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<br /> CITY Q� ORONO-- PLUMBING PERMIT
<br /> (All Commercial Pe�mits Must be Approved by the State Prior to City Approval)
<br /> htt :/lwww.dfi.mn. ovlCCLD/PDF/ e lumb lanreva . df
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<br /> 1. Yau may apply for plumbing permits by mail or in person at the City pffces. Applications will be
<br /> reviewed and a permit will be issued within two working d�ys.
<br /> 2. Permit cards will be sent by return mail after a review is compfeted. PERMITS ARE NOT VALID
<br /> UNTIL YDU RECEIVE A PERMiT. WORK MUST NOT�EG1N IJNTfL THE PERMIT CARb IS
<br /> POSTEb ON THE JpB SITE.
<br /> 3_ Plumbing permits may b� issued ONLY to licensed plumbing contractors and to properLy owners
<br /> residing in the dwelling_
<br /> 4. When any new consfruction 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. �1U work must be inspected and air tested befiore it is covered. Call (952)249�+600.
<br /> (24-48 hour notfce required)
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<br /> �Residenfiial ❑ Gommercial (Approval Required) [Backflow bevice=�AVB []PVB]
<br /> �New 0 Additional ❑ Repairs � Replaca
<br /> ❑ In Accessory Struc�ure?
<br /> 'Yau will need rior a rova! and may need CUP. (Per Orono City Code, Chapter 78,Article 11n
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<br /> Site Address: b5 �� ��� �� �
<br /> Owner: ���.5 V e�� Mailing Address:
<br /> City: Zip:
<br /> Home Phone: b1 a - �`�l - 073�Alternate Phone:
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<br /> ,',C'ontr,.ac�qC'„�Inforr��ti' „ ��. �,,,i,, �� '�,',?
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<br /> Contrac�j Contact Person: J�k�,�ll,�-� .
<br /> � �030 GUL[,IGqI� WAY
<br /> Address: State Bond #:
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<br /> ..,_ (s52} g3�-7200
<br /> City: � Zip: Expiration Date:
<br /> Phone: _ . Alternate Phone: �15� � `7 � a ' 7.� ��
<br /> ❑ lnsurance —Current:
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