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City of Orono FOR CITY USE ONLY <br /> � � �O P.o. Box ss Date Received: , <br /> 2750 Kelley Parkway <br /> y �, Crystal Bay, MN 55323 Permit# <br /> �'�� �c,` (952)249-4600—Main A roved B <br /> KESHo�- (952)249-4616—Fax pp 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://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 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 AlI 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 aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/ Owner Information: <br /> Site Address:��� � ��r�1� .5��`C ��-Ut <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: ,-. <br /> �-. <br /> Contractor Information: <br /> Contractor: ` r' ► ' Contact Person: . �.Gv�h�• <br /> Address: p,D �7 � State Bond #: <br /> City: tJ'r L�o1`a� Zip: 5.5.3�(„ Expiration Date: C2-3!_ /.(� <br /> Phone:cl�Z.- �y.3� �6�� Alternate Phone: � �Z ��lb' Z�� <br /> ❑ Insurance— Current: C.c�vc�(��f.� �n��nr,a..L� <br /> Page 1 <br />