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�p� City of Orono FOR CITY U E ONLY <br /> �.. O P.O. Box 66 Date Received: j -1 <br /> , 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# �(�i ��� - ����;���C::� <br /> � c,` (952)249-4600-Main <br /> ��A'�fSH�4� (952)249-4616-Fax Approved By: _ ��.1� <br /> Amount$. l ) ' . �C' <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 /> ❑ New �dditional ❑ 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: (�� ����Gf� ���'cr <br /> Owner: Y�tv�-!� ( -�(�.'�°-� Mailing Address: c��� ��� /I/ /�°wt �/L <br /> City: �6u� � Zip: S ��� � <br /> Home Phone: �1SZ- 7`�5-��/� Alternate Phone: <br /> Contractor Information: <br /> Contractor: Contact Person: ���l4iU (�j /�26�.r� <br /> Address: State Bond #: <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: /2 7�c�-�2/� <br /> ❑ Insurance - Current: <br /> Page 1 <br />