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�pN City of Orono FOR CI F U ONI/YQ` <br /> 0 P.O. Box 66 Date Received: (X !/p� /�`�O <br /> 2750 Kelley Parkway Permit# �(�� O — vvl� <br /> ., Crystal Bay, MN 55323 <br /> tie �� (952)249-4600—Main Approved By: <br /> �lostiov- (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://www.dli.mn.dov/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 /> 'l Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ 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 /> 0 <br /> Site Address: 1 y5k " <br /> Owner:J`�`� e' J }`) Mailing Address:-S3 l0 C (�/5 I k ` g <br /> ``r 0 <br /> City: Wit\( t`` Zip: 63 ( <br /> 6� 5.5 - fit 5 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: , / n�] , 1 <br /> Contractor: C' til i gni ?(k)-1441:, `� contact Person: v Lig l t ( d 1 " <br /> Address: 1Pit' �`3 �f C-S± 0 -Y T`ti-"1" ((v'State Bond #: PC 6 ifs{ I Y`i‘ <br /> / c Z IV3/�City: �� LC��-� Zip: J5J5 Expiration Date: 1 / <br /> Phone: d S J -I8./ J < 3 Alternate Phone: <br /> Insurance - Current: 5 <br /> Page 1 <br />