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. ro►�crr�°usE o��v <br /> 040�0 City of Orono <br /> P.O Bo�66 Date Received: Pcnnit# <br /> , � 2750 Kelley Parl:w�ry <br /> a � � ��� Crystal Bay,MN 55323 Approved By: Amount$: <br /> :Ry �� c`�� (9�2)249-4600 � <br /> w <br /> ���dXz�x�*' <br /> CITY OF 0120N0-PLUMBING PERMIT <br /> (All Commercial permits must be approved by the 13uilding OFficial or Inspcctur) <br /> GENERAL INFORMATtON <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 rivo workin�d1ys. <br /> 2. Permit cards will be sent by retlirn mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECENE n PERNIIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERI�IIT CARD IS POSTED ON 7 IIL JOB SITE. <br /> 3. Plumbine permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any!�ew construction or remodelin� is involved,a separate bui!dii�g permit musl be <br /> obtained. <br /> 5. All worl<mList be done in accordance with State Code requirements. <br /> 6. All worl<must be inspected and air tested before it is covered. Call (952)249-4600. <br /> (24-48 hour notice requirecl) <br /> TYPE OF PERMIT <br /> (Check All That A 1 ) <br /> ❑ Residential �Commercial(Approval Required) <br /> �� <br /> ❑ New ❑ Additional �[J Repaiis ❑ Replace <br /> /� <br /> ❑ ln Accessory Structure? <br /> *You will need prior approval and may need CCiP,(Per Orono Ciry Code,Chapter 78,Article IV) <br /> Job Site/ wner Information: <br /> �---- — <br /> Site Address: ������ ���,�� � ��� ���1C��i��(� ��1. <br /> O�vnec: ��l � ���"-�'�C' �� Mailin� Address: ����� <br /> � <br /> �""c- - `. <br /> c�ty: �ti��z�� zip: -�_�_� � l <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> -- � <br /> �_ <br /> Contractor: ��i� ����iC�� Coi�tact Person: ���� <br /> Address: �� " ��� ���`�f�� ��r1�tate Bond #: ���''-"��� �� ���� � <br /> �L� L�. <br /> r .' � � �? `1 <br /> `� 3 I � � <br /> City: i �l i i, , . � � Zip:�j� �r.�Expir�tion Date: '��- <br /> 7 ,/ � �� <br /> /�1 _..—._,___ _ <br /> Phone: � ��f�" ����.�'�'�-' Alternate Phone: <br /> � � --� ,r ��%�� , --�-_ <br /> � t ;l��i���i - i � � <br /> lnsurance urrent: <br /> 1 <br />