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_oak City of Orono FOR C U$ NL1( S <br /> • O P.O.Box 66 Date Receivveedn / // <br /> 2750 Kelley Parkway Permit# v)O/S <br /> '','s• <br /> Crystal Bay, MN 55323 <br /> o (952)249-4600—Main <br /> ��4kESHO4' (952)249-4616—Fax Approved By: 5 /_ <br /> Amount$: , F% <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 /> EJ.Residential D 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: I`go %ohn5 Qk i <br /> Owner: Mailing Address: <br /> City: Orono Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: k(CCS;on 1uv✓►)j;n6 kn(/ Contact Person: (V11 F_ <br /> Address: ("I I a4 04.(At„,2: €.1 ti - State Bond #: Pc 643`a06 <br /> City: _.5i Pi.ci,) Zip:SS Expiration Date: <br /> Phone: q 0- eq N- -1-ofe6 Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />