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-�SON City of Orono FOR CI �S ON <br /> O P.O. Box 66 Date Received: !' �� <br /> II 2750 Kelley Parkway a <br /> Crystal Bay, MN 55323 �u.`° <br /> y`�:.. Permit# /7� <br /> y�� �L` (952)249-4600-Main <br /> Approved B <br /> osHOQ- (952)249-4616—Fax r''.' ��..' PP Y <br /> Amount$: 53 <br /> CITY OFCdIONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/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 All That Apply) <br /> sidential ❑ Commercial (Approval Required) [Backflow Device: AVB 0 PVB] <br /> ❑ New ❑ Additional ❑ Repairs VR eplace <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:jjj%�� 12OAzD <br /> SiteAddress: CMJ C(/ ✓ OQ1Q _ <br /> . , <br /> Owner: IfigikK.. �� IL ailing Address:q/V `D/ FP Rt _ <br /> City: . Zip: <br /> Home Phone: to Alternate Phone: .P l7-- - lDq -1 c <br /> Contractor Information: <br /> Contractor: \ r .Illi L . Contact Person: `( <br /> 044 :3((_-_ <br /> Address: 4.), ---T1+ <br /> �oF , O 4L _mg.: \ .tate Bond #: --VC, <br /> Zip: 5 Expiration Date: 12_ 170fl <br /> Phone: 1121L- C1CD "-11 Lo Alternate Phone: LQ l2 Z41 e2-( XC) <br /> E(Insurance - Current: c 61 q 01, n - 02.11?) <br /> jrli&d.L * UlCOL 1.104-a_uriBit.t6 , COfl <br /> Page 1 <br />