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SON City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: .3 - 7-1 <br /> 2750 Kelley Parkway —» <br /> .� Es, Crystal Bay, MN 55323 Permit# <br /> y�t1 �(5 (952)249-4600—Main Approved By: <br /> KESHOR (952)249-4616—Fax <br /> Amount$: S).1 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 /> tResidential ❑ 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: C <br /> Site Address: ��D n�LA $h0 e- D(L Jt' Je5 i <br /> Owner:64 l°1\ Me Ye{ Mailing Address: /CX01- 11 J h ie 176good AI <br /> City: 6IoO Zip: 66`�5' 9 / <br /> Home Phone: 6(g - -7(k)-03'76 Alternate Phone: <br /> Contractor Information: <br /> Contractor:Cc L - b,1 i�'/'�!�l;1 /.�j�6 �� A� }/y�l'(i:�.l <br /> Contact Person: �TW� <br /> Address: ( 16-3 UJ t W ' ' 3l State Bond #: Pc ; L(i( <br /> t I <br /> City: Loi t a. Zip: 56'35 vC Expiration Date: I ?/-7(7i <br /> Phone: -I d ' 173 — v1-93 Alternate Phone: <br /> In — Current: \/0 5 <br /> Page 1 <br />