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of Orono <br /> - 4O1�T City FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: //-- P.7-/7 <br /> 2750 Kelley Parkway <br /> a > Crystal Bay, MN 55323 Permit# 20/7- D/51,03 <br /> � <br /> 6, (952)249-4600—Main <br /> e1k sH046' (952)249-4616-Fax Approved By: <br /> Amount$: 5/. S <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 /> )(Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ 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 / Owner Information: <br /> ' , ` 1 .i1 <br /> Site Address: , S U /u L')/T'kl /i l'l/ Li,7-' C. <br /> Owner: ,t� t C I C 3 /1,/, <br /> h Mailing Address: / , /-,-/•1-7 L) <br /> City: --- (-0 1 0 Zip: 5 55 ,�- <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> /' f ')/ / <br /> Contractor: b' ' ''V t /6.47 j;/� 61 r Contact Person: () �� ,2 <br /> '6i2 7 , , i t' f ✓�/� <br /> Address: /94 7 5co;-i /-1 State Bond #: 'y (-- U It' 2 ' ` <br /> City: Lee, ' - r�f�i,^-Q. i `i ce Zip: 56 6 Expiration Date: 0/ 3/ 1' /`7 <br /> Phone: 6-1°1 - 7Y2--- 77/ Alternate Phone: <br /> -.Jnsurance - Current: ,L/Ay, o�/-i-f'v./, `,' 5•-,Z 7`% S — S <br /> Page 1 <br />