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City of Orono RECEIVED FOR Cly US o L <br /> O P.O. Box 66 0 8 2017 Date Received: -- — �� <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# <br /> (952)249-4600—Main <br /> FSHOQ'� (952)249-4616—Fax 8�pRo ko 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.dii.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 /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs <br /> F-1InAccessory Structure? XReplace <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> �n� �SVlDrei �r�' y� <br /> Site Address: Ic- <br /> , <br /> Owner:"J0)(1b 1 r I G �C bl f I Mailing Address: <br /> City: 0 r M D - ���`'�4lZip: 55 3toq <br /> Home Phone.C to ` 2J l ternate Phone: <br /> Contractor Information: I,, <br /> Contractor: \do r b t v l r ' �j f �UM01,��ontact Person: <br /> Address: UStaterrBoCCnd #: <br /> City: 5t- Faw Zip: L% O Expiration Date: <br /> Phone: ( 2,) O"�/�- L3� Alternate Phone: <br /> Insurance - Current: <br /> Page 1 <br />