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, �. <br /> �pN City of Orono FOR CITY S O LY <br /> O P.O. Box 66 Date Received: �-��`l� <br /> �' 2750 Kelley Parkway D /��D�/il <br /> � Crystal Bay, MN 55323 Permit# ! LJ <br /> y�^�1 E�,� (952)249-4600—Main Approved By: <br /> 'rfSH00. (952)249-4616—Fax <br /> Amount$: G� <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 wilt 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 /> ❑ 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 /> � � � <br /> Site Address: J � 1� ��. ,r�,_� L�,� .� <br /> Owner: �,i s� � �c � Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: l� �-� 5�.,.�. �- #��c� ��.�.�, Contact Person: � � 11., t ��� h rc�- <br /> Address: 5(,Of 3 3 I t�� -� �"`� State Bond #: �� e t(� � -7 <br /> City: C_�,.�--�Y . J� -� Zip: �S o � � Expiration Date: t 2� 3 (-! � <br /> Phone: 1�3 ' 2 3� — � � � 3 Alternate Phone: <br /> ❑ Insurance — Current: 1,,� �S -�' � _�,�•, <br /> Page 1 <br />