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S0A'O City P.O. ofBox Orono 66 FOR CITY USE ONLY <br /> Date Received: 3-- <br /> A <br /> 2750 Kelley Parkway1. Permit# 2 0 a-3 5- <br /> ,. Crystal Bay, MN 55323 -Q;Q <br /> F c` (952)249-4600-Main Approved By: j/�b'� - <br /> �"'kEsHov'`" (952)249-4616-Fax p <br /> Amount$: 5 D l O <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: 4 (g0 ( -- ern,$ ) k <br /> Owner: Rat'+V`ncr v1 Mailing Address: <br /> City: C10 ✓lZ) Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: (\(>oj1c41ee ?( uc'v\ii ;v\J Irk Contact Person: 0603 Dad 6, - <br /> Address: I0OB (( Lo ' 5--tY e-ec State Bond #: <br /> City: yo,) ,ncl A r -rif C Zip: rj'5.c.1") Expiration Date: <br /> Phone: [a--� 5(4--- l I 1P-- Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />