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.per City of Orono FOR CITY USE ONLY <br /> • - 0 P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway Permit# c77O/ s---1,-CO / <br /> a Crystal Bay, MN 55323q <br /> ti c` (952)249-4600—Main <br /> �<IKEsH04' (952)249-4616—Fax Approved By: <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.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 /> ,----- <br /> D-Residential ❑ Commercial (Approval Required) [Backflow Device: El AVB ❑PVB] <br /> ❑ New [a'Additional ❑ Repairs <br /> ❑ Replace <br /> El In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site I Owner Information: <br /> Site Address: 1114 ( Ef'cV cue() of /) U 42. <br /> Owner: AkeS f-- Mailing Address: (/`(/ i / ccc-Y 4 <br /> City:ligto ©vr'o Zip: <br /> Home Phone:IS2 `(S2-UG c 1 Alternate Phone: <br /> Contractor Information: <br /> Contractor: ( o r�Sic r- Pfd; ..,Ln C Contact Person: ,re v ) r\ <br /> Address: 7O�r) g e--64 c-.) f (j' �,-, State Bond #: PC 44863 7 <br /> City: ('F.a,I,.F,site', Zip: 55-3 17 Expiration Date: >27>//l‘ <br /> Phone: 6S/ 7G .�-, W.I 7 2 Alternate Phone: <br /> [Insurance— Current:6c-1 nn ' [ (V\ LA —j�rcv e c' <br /> Page 1 <br />