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01/24/2017 11:43 FAX 9529335049 CULLIGAN MNTKA 0 004 <br /> ' <br /> oNO <br /> CityBox 6s Received:of Orono eceiiv FORCITY USE_fON.LY, ; .: <br /> Date_ ' _ <br /> P.O. `�: ' <br /> 2750 Kelley Parkway • ; : <br /> Permit.#.< =: .'j ::.... <br /> MN 55323 " j', <br /> • <br /> Crystal Bay. .,'=`;:e " . ;�' <br /> y -4600--Main A rov d.B <br /> 952 249 p y':;:-: '. :�° . <br /> kasHo (952) 249-4616 Fax <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.govICCLD/PDFIpe plumbpianrevapp.pd <br /> f <br /> ,.-. .+'y..,5i;�a..:.:r...,,.:.,.:cj`�.:�� _ _ .:.�'Ll",n KI4.'n. t$n <br /> fGENERAL'INFORMATION '�' . ` �`° �` °'` '' {�� <br /> 1, You may apply for plumbing ermits 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 <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN tUNTed. IL RHETPERMIT S ARE 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 /> .:..,,.....—rs 7q, �{:i= _.. � : .,. �•,Y`. .f1{ <br /> :...,}:r:ty:. . :.•d4:i.: "n. fi1°'•ira,+;�.. .: •.: •at":f"A:�, �:I:': ,.�.".• '�:rf%��•''��a'e..,wc1"'�::=�;F`s"'r*` :�x <br /> r..,..- ..:;= .�:a...�. ,���.�... _ P.[?:�)�4'.° <br /> E:O�;;PERM1.:.. <br /> Residential ❑ Commercial (Approval Required) [Backflow Device:D AVB ❑PVB] <br /> E Additional El Repairs <br /> Replace <br /> [1 New <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Tiitc:Tritiation: <br /> Site Address: a hCr-LiRo-,/ <br /> Owner: C 6,4/Vt./ m Mailing Address: <br /> City: Zip: <br /> Home Phone: 9S'1,- a-01 L 3 Alternate Phone: <br /> .. ... ,. ,b...,.�u:•ai,:..o . .,-a,.rt'::F`i; .:a;-.dg.c+;��'f:'.r!::'>j;'.t:i:y,i . <br /> ontrac0 information;;•14:V °f`' ';'v�>:,;�ir` '':i 7: <br /> Contractor: Contact Person: <br /> `LILLIGAN WATER CONDITIONING State Bond #: <br /> Address: 6030 CULLIGAN WAY <br /> MINNETONKA, MN 55345 Expiration Date: <br /> City: (952) 933-7'04 Zip: <br /> Phone: Alternate Phone:- <br /> ❑ Insurance — Current: <br /> Page 1 <br />