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�-� �� <br /> `�.,�:c,� . <br /> � 5a�'�� KCVtiV�I,J <br /> �i� ��o^,� city of orono pU� � $z��� FOR CITY U� o,�L`Y <br /> O ,, P.O. Box 66 Date Received: �- �i� <br /> I 1 2750 Kelley Parkway ' � <br /> �� � Crystal Bay, MN 55323 CITY OF ORO{� Pe�mit# O��r �P '�d� <br /> \y�^!\ �% (952)249-4600-Main A r O v e d B : <br /> �<�H��� � (952)249-4616-Fax pp y <br /> � <br /> Amount$: �� <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 plumbir�g contractors anc� 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 Ail That Apply) <br /> --�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB� <br /> f <br /> ❑ New ❑ Additional ❑ Repairs �7teplace <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 /> r. <br /> Site Address: ����-- ; � (�C �S� �`�('M ���-�. <br /> Owner: �� �P�� ��. Sc�c� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ��< � ` � Contact Person:� < <� <br /> ��t('. C�.r Cc� <br /> Address: ��� ����{���State Bond #: �C��S <br /> , �,, \ <br /> City: `.,�(�o1`C� 1 (�� s� v�c� Zip:�� Expiration Date: �Z 3��� <br /> Phone: ���,-5� a - ����� Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />