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. � <br /> �p� City of Orono FOR TY USE ONLY <br /> O P.O. Box 66 Date Received:�d 1 -1�v <br /> 2750 Kelley Parkway Permit# �t �Q ^ �J0 ��7 <br /> y �, Crystal Bay, MN 55323 <br /> � o` (952)249-4600—Main <br /> ��'FFSHO��' (952)249-4616—Fax Approved By: <br /> Amount$: � / . Sv <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.pov/CCLDlPDF/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 retum 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 All That Apply) <br /> �esidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> �ew ❑ 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 lnformation: <br /> Site Address: �1 b�� tn cR`�'�� S 1-�2� �2• <br /> Owner: �`��'� �U ���5 K t Mailing Address: 31 g� �� S�� �2. <br /> City: ��Z�� Zip: S'S34 � <br /> Home Phone: Alternate Phone: L� � 2 - G bb �SSS� <br /> Contractor lnformation: ' <br /> Contractor: ��v�'� ►�1��+� - Contact Person: i��� ��v��' <br /> Address: �z� ��"�9 7 '�'—; CT. �1�� • State Bond #: /�� ���13 � <br /> City: Etl< �i�� Zip: �.r33v Expiration Date: �t•3� -1 t� <br /> Phone: T�C 3 -y�1�' S3G D Alternate Phone: <br /> [�Insurance— Current: �lU�'b BW�n�S <br /> Page 1 <br />