|
O1/12/2010 09:50 FAX 9529335049 CULLIGAN MNTKA f�002
<br /> � ' }
<br /> � � .FO '� USE ONLX
<br /> 0 City of Orono � ���-'�� �
<br /> O�" '�0 P_O.Box 66 ' Date Receive � � Permit�# I�" D��
<br /> 2750 Kelley Pazkway �
<br /> Crystal Bay,MN 55323 Approv,ed By: Ainount S: �7 .
<br /> ��� (9S2)249-4600 • . • ' .
<br /> CITY OF ORONO—PLUMBING PERNIIT
<br /> (All Commercial permitv must be approved by the Building Officiel or Inspector)
<br /> GENERAL 1NFORN�'ATIO�T' � • ,.,;:�� �� . �t. �.;�; , .
<br /> � 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
<br /> reviewed aad a permit will be issued within two working days.
<br /> 2. Pertait cards will be sent by return mait after a review is completed. PF.RMITS ARE NOT
<br /> VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
<br /> PERNIIT CARD IS,�OSTED ON THE JOB STTE.
<br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to properiy owners
<br /> residing in the dwelling.
<br /> 4. When any new construction or remodeling is involved,a separate building permit must be
<br /> 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. CaII(952)249-4600. �
<br /> (2448 Lour notice requirecn
<br /> N,t�e� .�Tt' ;!''�� ' ��..��:. :. :.,... . .,. ,. �,j�� ..•.�� ��n� ;w{�;. �:-• �,yJ1-<ri.t . -r..4:� .15t1,
<br /> •i. �'i' L•'tiy�5:i�l��:ti�'�'�°' •��y�t�r: �(� ������r�i�{:,ir�fl^bp,y,�a'S,;;s�'�{i:�:•.in�^p:::`,S''::I'.''t�� .,r
<br /> 'V'• 4ali'v't.Ci dp;�si .:�': �:{�. • •;�II':�,'; ''T: .���1'��� '' ,1 s.r r:�r;t. �.,�� ''
<br /> �.��.. ro'•;���;:,.
<br /> .���`s_.,.�.,e;i3��, ,,yri:.ti;4�^i• �a;:: ;�„�,1"';'fid...! ;t..r�,.. � U�+�a.�: .�,.;':�" k•r::� I F.'•�
<br /> �}. ,i, f..i'.}, 'y.i ��i.�,.:� y .ikG �y�;7.S)-,. •[:'�'aA�f'�i�6I'.�F;;,,..r�.A'•.' de'����'�.�rv°•�•!1� ,u
<br /> i..µ �1 ` � ,�. � �{�r�I;;�;; •� •q i4,>f'.'?2ii�...IS' � . �
<br /> ;(�; .i���.i���?��..�.i�; :y;:. �,ci;ui.. �'vi`�:. ,�BC�:;/�;il�';�L-11a��. ,,�,,� '��Bi�T�� �:I;, 5,��5. 1f �9: •l:;Ip ��;�T���;
<br /> .<�.��•�:-• ,�'���- 1���.':�•r.,,
<br /> �Residential ❑Cotnmercial(Approval Required)
<br /> �New ❑Additiona] ❑Repairs ' �Replaee
<br /> ❑ In Accessory Structure7 �
<br /> *You wi�l need orior aonroval and may naed C:UP,(Per Orono City Code,Chapter 78,Article I'V)
<br /> �Y�t�1.�.T�.�I�TI 'e; 1 ..� :.:�, � ..� ��i, ,� ,
<br /> F:�'n� '�i .r� ,r.ii,i,,, �,,
<br /> i � '�.�{, •"'='�T't,;.'�,'�,,,,�'..„�•f�Tl:Nq`qw�:ttl•l��y;�•.s�.s,�•j.:t=�
<br /> Site Address: �a g C� � Arnn �f��
<br /> Owner:�2aY1 Pa nc.,�ny Shu v� Mailing Address:
<br /> . ciri: z�p: 55 3 6�f
<br /> Home Phone: _95� � `191 - a i o y Alternate Phone:
<br /> � ,�`�����tiox F,.Ii�fariiia�i'.o'xi:;:�,:�; :k..;- ;�� �-,:,';
<br /> ,�.
<br /> ontractor: Contact Person: c� �k�D
<br /> ��L`I�'AN Wp�EA CONDI�`IONIN� . 9
<br /> 030 CULL�GAN qy Sta.te Bond#:
<br /> Add�e.� ��r KA� MN 55345
<br /> City: ��5�') 9�9-72pp Zip: Expiration Date:
<br /> Phone: Alternate Phone: 9 5 a- �i a-7 3� 9
<br /> ❑ Insurance—Current:
<br /> . 1
<br />
|