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vpN City of Orono FOR CITY USE ONLY <br /> 0 P.O. Box 66 Date Received: </-9-/S' <br /> Crys2750 Kelley Parkway Permit# �O(S-DO'-/3U <br /> A � Crystal Bay MN 55323 ' � p <br /> yF �� (952)2413911 0—Main Approved By: /,YG� <br /> �4kESHORb (952)249-4616—Fax / <br /> Amount$: $.5 eV <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.qov/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 /> `L1 Residential ❑ Commercial (Approval Required) [Backflow Device: ElAVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Repairs -AiReplace <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 /> 6 I <br /> Site Address: 1 �� � fZiii/1 <br /> Owner: 46e4A -lfc.1A Mailing Address: I Ig/ J) 614\ eAlitil ZA <br /> City: ton3 tde_, Zip: 456(e <br /> Home Phone: `( 5 LI 3-3 - )-.9-1(11 Alternate Phone: <br /> Contractor Information: <br /> Contractor:C if--- Y I 0 r( Gtvvto, ,Contact Person: 5+e..k ( t°(4 <br /> Address:I'10'& W&51U''.'1(/6 State Bond #: PG 61/11-1< ` <br /> City: 1 V La�(e Zip: 6635& Expiration Date: Iv/3( <br /> /1i <br /> Phone: 9.0 - q73— J Alternate Phone: <br /> Insurance - Current: Ye-5 <br /> Page 1 <br />