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p City of Orono FOR CITY USE ONLY . <br /> � NO P.O. Box 66 Date Received: ? j 2..//�.� <br /> 2750 Kelley Parkway --��;��� _� <br /> y �� � Crystal Bay, MN 55323 Permit# � � `_ <br /> �^�� �c` (952)249-4600—Main A roved B ���� <br /> k f S H�4 (9 5 2)2 4 9-4 6 1 6—F a x pp y' <br /> Amount$: <br /> �Z . "' <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 /> ,�J New ❑ Additional ❑ Repairs ❑ Replace <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: �� ���✓�,;��� �,,,� ,�.�:� f��� <br /> Owner. �'I 1���;nID����.��^ , -yus Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � ��ct„�,( (����1�,,.,� �, n�� Contact Person: � f� �'� �S�'�. �� <br /> Address: G�/�-� ���;t�s���� ('��. N "" State Bond #: f L�y� �(�j <br /> City: �v;��� Zip: S � �y�� Expiration Date: �2 ��l �� 7 <br /> Phone: ��� ��;3 --7� 5- C,`C�1�Z Alternate Phone: (,� Z 5� � �-�- �`�r <br /> �] Insurance — Current: <br /> Page 1 <br />