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03/27/2018 12:19 FAX 9529335049 CULLIGAN MNTKA l 002 <br /> • t <br /> *lc,0� City of Orono FOR USE <br /> N <br /> 0 <br /> 2 P.O.O KeIle6Parkwa Date,Received:( /A 7 { 6 <br /> Kelley Y Permit# ,A0.12,..,_60.3:& <br /> Ot S �0b) <br /> -\ Crystal Bay, MN 55323 <br /> to (952)249-4600-Main Approved By0$00 (952)249-4616-Fax <br /> Amount. . .... .:..... ... ... . ... <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htto://www.dli.mndoovICCLD/PDF/De p.lumbplanrevapp.pdf <br /> GENERAL':INFORMATION :a <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 /> a: _...... hecK .._lt .:: . . Apply F:1e ,: <br /> ..:_�;.:-: ;,:TYPE OF_PERMITFC .. �'- � <br /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB) <br /> NIXNew ❑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 /> 'Jab Site!Owner fnformatidri- > ti n <br /> Site Address: 035 Nb» r <br /> o. ,c``i r Ra <br /> Owner: Do,v'v& ,2--k5 k-y Mailing Address: <br /> City: Zip: <br /> Home Phone: 9 5 a - '113 a.9 I t Alternate Phone: <br /> Contracforinformation:`;_ <br /> Contractor: Contact Person: <br /> Address: ,ULLIGAN WATER CONDITIONING State Bond #: <br /> 8030 CULLIGAN WAY <br /> City: MINNETONKA, MN 55345 Zip: Expiration Date: <br /> (9 ) 933-7200 <br /> Phone: Alternate Phone: <br /> ❑ Insurance—Current: <br /> Page 1 <br />