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! ' ' �p,� City of Orono FOR CITY USE O LY <br /> O P.O. Box 66 Date Received: L1-( �`��G <br /> ,�111 2750 Kelley Parkway ;� <br /> � � Crystal Bay, MN 55323 Permit# �-,,�����'�=�� �� �,l <br /> F (952)249-4600-Main <br /> ��`"�����' (952)249-4616-Fax Approved By: �� , <br /> Amount$: <br /> i <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 per�nits may be issued ONLY to licensed plumbing c�ntractors and to property o�vners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. Ali 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) [�3ackflow �evice: ❑ Av�3 ❑ t�vB] <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 /> ^ � i � � ��, ��L ���1�� <br /> Site Address: 1�-u�� ��i ;�' <br /> Owner:_���'L �������� Mailing Address: ��l"� ��i::;'�� ���� '�C��� <br /> City: �7�om1.� � Zip: ���� t <br /> Home Phone: � C�;����(o���'��Iternate Phone: i <br /> Contractor Information: <br /> f � 1 � � `�'-j <br /> Contractor: (�!1 D ��'o��^ ��� Contact Person: u� � , '1� <br /> Address: "���� �a-�^�"�,�t��i�, ��� � State Bond #: `" 1 «J�"`�� <br /> City: /�1'1\� ��� a '. ' � Zip: S � � Expiration Date: � �� �� �� � <br /> � � � �� �� <br /> Ph e: So t��' ���� "�Z� Alternate Phone: � <br /> ' Insurance — Current: ��°���'���� <br /> Page 1 <br />