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12/09/2013 15:14 FAX 9529335049 CULLIGAN MNTKA R002 <br /> FO CITY USE ONLY <br /> " U�� City of Orono <br /> 0¢ h0 P.O.Box 66 Date Receive �� Permit# <br /> I 4 2750 Kelley Parkway <br /> I, t t rf Crystal Bay,MN 55323 Approved By: Amount 5: <br /> _ (952)249-4600 <br /> CITY OF ORONO—PLUMBING PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector) <br /> GENERAL INFORMATION <br /> I. 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 <br /> VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS 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 <br /> 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 <br /> Check All That Apply) <br /> Residential ❑Commercial(Approval Required) <br /> New ❑Additional ❑RepairsReplace <br /> ❑ In Accessory Structure? <br /> *You will need Rrior anyroval and may need BJP.(Per Orono City Code,Chapter 78,Article iV) <br /> Job Site/Owner Information: nn Q <br /> Site Address: a5S5 <br /> Owner: 7-0\ Vrt:"j.\&5 Mailing Address: <br /> City: Zip: 5539 1 <br /> Home Phone: bl A-334 - 1a b I Alternate Phone: <br /> Contractor Information: <br /> CUC1QKVAft ATFR noNnlTIGNI tri Contact Person: <br /> 6030 CULLIGAN WAY <br /> A98UNETON_KA, MN 55145 State Bond#: <br /> (952) 933-7200 <br /> City: Zip: Expiration Date: <br /> Phone: Alternate Phone: q5 a -91 d - 13 3 <br /> ❑ Insurance—Current: <br /> 1 <br />