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�pN City of Orono FOR CI�Y USE ONLY <br /> O P.O. Box 66 Date Received: �P ��'-/� <br /> � 2750 Kelley Parkway permit# �� �� — � 7 �"Z` <br /> ., ,, Crystal Bay, MN 55323 <br /> y� � (952)249-4600—Main Approved By: <br /> `qKfSHV�� (952)249-4616—Fax <br /> Amount$: 7 �� ` �'�' <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 StTE. <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 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 All That Apply) <br /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <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 /> Site Address: �;��ns �Dl��-/ ,ff/0/�b� „�iQlllbs <br /> Owner: ✓d/�� �/.�/D��l'L Mailing Address: 7ylos N��i 5����DI�I� <br /> City: ��O�I/� Zip: �.�3�I <br /> Home Phone: Alternate Phone: ��Z . 8�/� ���� <br /> Contractor Information: <br /> S L c <br /> Contractor: /`1�CH�4.�llC��- S,��r/1C� Contact Person: G�1�I�1� �,�V.�'L�� <br /> Address: ��9 �'AJ�I(j�{D�� S'T, State Bond #: ,PG'!o y Z�2� <br /> City: .� GOUL3 P�4� Zip: s�tfl� Expiration Date: /Z .� <br /> Phone: 9sZ� �Z�+ �/�}g Alternate Phone: <br /> ❑ Insurance- Current: <br /> Page 1 <br />