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c � � <br /> ���p� City of Orono FOR CITY USE ONLY � I <br /> �� P.O. Box 66 Date Received: od0/`7 —�Z ` <br /> �, � ''� 2750 Kelley Parkway <br /> y �/ Crystal Bay, MN 55323 Permit# �— Z7 J�7 <br /> � (952)249-4600—Main <br /> ���k f s H�aE/ (9 5 2)2 4 9-4 6 1 6—F a x Approved B y: <br /> � � Amount$: � � <br /> CITY OF ORONO—PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:/Iwww.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 wilt 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 TME 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 invotved, 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 /> (�esidential ❑ Commercial (Approval Required) [Backflow Device:�AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article t� <br /> Job Site/Owner Information: <br /> Site Address: ��6� ,ya��� �SiCa�/�� ,t:�,/c', <br /> Owner: 1-y/e Goq��/2 e 5/ Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Con#ractor. _�/r,�iei�� ,p/���i h� Contact Person: � /eS/��� <br /> Address: 0?/�7�f��i��d{�5 ST.�lO�" State Bond#: �G��`?�p� .7 <br /> City: S7��L� Zip: 5.��79 Expiration Date: 1��31 ��7 <br /> Phone: ���K 7 75 ~�s �s Alternate Phone: <br /> ❑ Insurance—Current: <br /> Page 1 <br />