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r „cLpk City of Orono FOR CI USE USE . Y <br /> 0 P.O. Box 66 Date Received: . / <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# (2 O/ j - �% <br /> ��^ �` (952)249-4600—Main <br /> <ikEs Hoa`` (952)249-4616—Fax Approved By: <br /> Amount$: 5k', 5D <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 /> g Residential ❑ Commercial (Approval Required) [Backflow Device: <br /> ❑AVB ❑PVB] <br /> ❑ New ❑ Additional El Repairs <br /> ❑ 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 I Owner Information: <br /> Site Address: 2 6-Q kGl110y ivc <br /> Owner: --4'4 c-le /2 d (-e►— Mailing Address: � �--t <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> • <br /> Contractor: F.-=3X X ifto=� /sot/0, 'k Contact Person: �) 44e p- 2-I ch,S' <br /> Address: 2c:3 g 2 ? #=:=1.h,6 tfy 4e/ State Bond #: ,013c--6/974. <br /> City: L� -,--z-0,//z `, !in G, Zip: cf:CQ y Expiration Date: /Z-3,-,p <br /> Phone: &2 701 1"07 a Alternate Phone: <br /> [Insurance - Current: <br /> Page 1 <br />