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,:-'SON City of Orono FOR CITY USE ONLY <br /> - ` P.O. Box 66 Date Received: <br /> *lc_ I 2750 Kelley Parkway <br /> � Crystal Bay, MN 55323 Permit# Aad(�— dO/.() <br /> (952)249-4600-Main <br /> ���� �` (952)249-4616-Fax Approved By: <br /> Amount$ , ..-Is (Pd <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 /> [‘,4 Residential ❑ Commercial (Approval Required) [Backflow Device: 0 AVB ❑PVB] <br /> ❑ New krAdditional 0 Repairs ❑ 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 /> Site Address: 9 C:Y7 bP ( (.._,004i c ( fitO <br /> Owner:4 I A Z /4 Mailing Address: <br /> City: 0(4 0 Zip: CS 3 LC=. <br /> Home Phone: Alternate Phone: 6(2-^ 73,S 4-C(12-- <br /> Contractor <br /> -C(/ZContractor Information: <br /> Contractor: 13o' -Ve-t' f 1 t b t'f5'L is Contact Person: Jb (— <br /> Address: ()v +3,d-- 17 61 State Bond #: Pc 6 L/ 33/ ,S <br /> City:P X10( L_601-t— Zip: r^1 q- Expiration Date: <br /> 12/J//J`I <br /> Phone: Alternate Phone: 6 It - V7° — 6 8 1 2— <br /> NI Insurance— Current: AA oca-nS 6 -- I - 12 16y606 --o2 Ze-/S 307 -(7 <br /> Page 1 <br />