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O1/24/2017 11:42 FAX 9529335049 CULLIGAN MNTKA C�002 <br /> , p City of Orono FOR GITY USE ONLY ..--�� <br /> � �a P.O. Box 66 Date Received f� <br /> 2750 Ke11ey Parkway Perm�t# ��1 ���C� <br /> ,, Crystal Bay, MN 55323 ,; r,T <br /> r�r � (952)249-4600—Main Approved Sy ��r�� <br /> �'�Kesr,o0.�' (952}249-4616—Fax ; �� �� <br /> Amount$ ;�' �:., r. <br /> CITY OF ORC�NO — PLUMBING PERMfT <br /> {All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli mn qov/CCLD/PDF/pe plumbpianrevap�.adf <br /> GENERAL 1NFORMATION . I '�`, ; ' . . <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 MUS7 NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB Si7E. <br /> 3. Piumbing 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. Ali work must be done in accordance with State Code requiremen#s. <br /> 6. All work must be inspected and air tested before it is covered. CaIE (952)249-460a. <br /> (24-48 hour notice required} <br /> ;. ( : :: <br /> ' ' TYPE OF PERMIT Ch " <br /> :; , ; eck All Thaf,:AP�t�) -. ` <br /> �Residential ❑ Commercial (Approval Required} [Backflow Device:[]AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs �` eplace <br /> ❑ In Accessory Structure? <br /> *You wi11 need rior a roval and may need CUP. (Per Orono City Code, Chapter 78, Article I� <br /> Job Site / Owner'Information: <br /> Si#eAddress: 35a1� I����� s�'`�'� �'� <br /> Owner: ��5 ��1�L Maifing Address: <br /> City: Zip: <br /> Home Phone: a 1�- �S 1 - $9 �3 Alternate Phone: <br /> Confractor,lnformation:`; <br /> Contractor: Contact Person: <br /> �. _ <br /> Address: ���Q ��LL�GAfV V►1�Y State Bond #: <br /> . , ,�,� <br /> Cit ; �g��� �33��2q� Z�p� Expiration Date: <br /> Y <br /> Phone: Alternate Phane: <br /> ❑ Insurance—Current: <br /> Page 1 <br />