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i <br /> ��N City of Orono FOR CITY U E ONLY <br /> ` O P.O. Box 66 Date Received: � % �1�6� I � <br /> 2750 Kelley Parkway <br /> � �. Crystal Bay, MN 55323 Permit# 1--� � l� —�D � � Z <br /> ti <br /> c`� (952)249-4600–Main ��� <br /> F`q'CfSH��� (952)249-4616–Fax Approved By: <br /> �� <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/CCLDIPDF/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 All That Apply) <br /> Q 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 /> _�- <br /> Site Address: �-� � U� �� ����� 1` �' V e <br /> --� � _> <br /> Owner: J��'� �`--�-�5��'� Mailing Address: ����3 /v. ���� ��•`� C- <br /> City: �% �`'� � Zip: ��-S � 5� <br /> Home Phone: Alternate Phone: ��(Sr�' � ��-` — ��8� �- <br /> Contractor Information: <br /> ;� � <br /> Contractor:�) �vc.��S.'� �`e c� � t �""�P . Contact Person: <br /> Address: State Bond #: � � 3 5 �� a� �� <br /> c:� • � � <br /> City: � �'� � ��2 � ./�� Zip: �s� l � Expiration Date: <br /> Phon .: �S,�- 3 3 �� — �� � � Alternate Phone: <br /> Insurance — Current: <br /> Page 1 <br />