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12/19/2017 14:00 FAX 9529335049 CULLIGAN MNTKA C1002 <br /> 0..At City of Orono FOR CITY USE NLY <br /> 0 \ P.O. Box 66 Date Received i?. ?-C <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permlt#� �]�:'�` <br /> /j <br /> (952)249-4600—Main Approved ey d <br /> e4.tFSHQ7.'E (952)249-4616—Fax <br /> Amount$ <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:l/www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERALINFORMATION <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 PERM[T(O eck All That ApPIY) <br /> \Residential ❑ Commercial (Approval Required) [Backflow Device:D AVB D PVB] <br /> New ❑Additional ❑ Repairs ❑ Replace <br /> • <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/Ownernformation . <br /> Site Address: 15 5 relo.P It.. PIO.C_Z <br /> Owner: An w i)fc.4k Mailing Address: <br /> City: Zip: <br /> Home Phone: fl L 3 - 9 a 3 - 9.5 I 7 Alternate Phone: <br /> Contractor Information <br /> Contractor: Contact Person: <br /> ,uLLIGAN WATER CONDITIONlNv <br /> Address: 6030 CULLIGAN WAY State Bond #: <br /> MINNETONKA, MN 5b345 <br /> City: (952) 933-7200 <br /> Zip: Expiration Date: <br /> Phone: Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page f <br />