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r <br /> R CI Y USE ONLY <br /> ��� City of Orono /-� '-7 <br /> O4 �O� P.O.Box 66 Date Receiv : � Permit# ���� v��/ <br /> �,,,,,_ � 2750 Kelley Parkway � <br /> 3, �'�'y ' �.� Crystal Bay,MN 55323 Approved By: Amount$:�� <br /> '7��.����:>,}.o j�` (952)249-4600—Main I <br /> ��rs�% (952)249-4616—Fax <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt ://www.dli.mn. Jo�/CC'LU/PDF/ c �lumb lanreva . df <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 <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB S[TE. <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 <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. Call(952)249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT <br /> (Check All That A I ) <br /> ! Residential ❑Commercial(Approval Required) <br /> ❑ New ❑ Additional ❑Repairs �Replace <br /> ❑ In Accessory Structure? <br /> *You will need arior approval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> Site Address: ���5 /1���.'?'hj_�'h�D�F 1�,Q, D.��i�o <br /> , <br /> Owner�r��� ��SOi1� Mailing Address: �'4�3�/l�r�@�',/ S'/�Gt��',L��O,��'n <br /> c�ty: Qt2Uvr.C� zip: -� S 3�'J <br /> Home Phone:����_��,J�`� �.5� Alternate Phone: <br /> Contractor Information: <br /> Contractor: L�'�� S/,d E ��.(1.��'�'/Nt�'/��ontact Person: ��,E'�'",� ,�'I•Q�i''S'T <br /> SlaA/> <br /> Address: �733 ��� �3�� State Bond #: it,�.��/C�`��/Of� <br /> City: CH.�S/11' Zip:S�f,� Expiration Date: /��-' �l-�/% <br /> Phone: �,� �.�� ���3 arc� �.•- Alternate Phone: l�� /�'�S�.�y�� <br /> ❑ Insurance-Current: <br /> 1 <br />