Laserfiche WebLink
pN City of Orono FOR CITY USE ONLY <br /> P.O. Box 66 Date Received: �5--��— f ( ' <br /> 2750 Kelley Parkway )� <br /> a y <br /> Crystal Bay, MN 55323 tke'CeIV Permit# OVJ/�o—���� <br /> 1 (952)249-4600—Maino1B A roved By:kFs►io (952)249-4616—Fax 2 pp <br /> �UQ 2 Amount$: <br /> .yoF °RANO <br /> CITY OF OF 3MO— 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: `1() D Id CYyStLt I Eat 12--c1 c1 S • <br /> Owner: AtAdi taecty. wogs IISk Mailing Address: <br /> City: Zip: <br /> Home Phone: 415-.5811 Alternate Phone: <br /> Contractor Information: <br /> Contractor: Pi lAmbk (1C� INC St- Contact Person: S'te1V Q WC/9 h tl,/ <br /> Address: 23242 V NO CtRAl /'tV-t State Bond #: PC_LQ`t 5Z. q(Q <br /> City: HIXrcy)k 1501 Zip: 553 J O Expiration Date: I Z./ 13/ ) 7 <br /> Phone: 320 - c1-1 `d 30 Alternate Phone: <br /> ❑ Insurance - Current: Cy nvi ( I Mutual 0000305 /41 .exp . 1/11/`Z0 7 <br /> Page 1 <br />