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p City of Orono FOR CITY US ONL <br /> .1„ i,„0-A- <br /> 4P.• NO P.O. Box 66 Date Received: //- /- <br /> 2750 Kelley Parkway ,(� <br /> Crystal Bay, MN 55323 Permit# 02 !!o -d � v <br /> o` (952)249-4600-Main <br /> �`''k seov,” (952)249-4616-Fax Approved By: <br /> Amount$: <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 Ir <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS a <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 NI 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: 15 Sts p p c Ltd EGe..d, PL.,' <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: LJ cr+©r;c, Plurn6.1 Contact Person: <br /> Address: p-p BOK 67 State Bond #: <br /> City: tlt c { ) ry c` zip:g.534 Expiration Date: bZ-3/-k, <br /> Phone:9s2- 41+3- CY)3Lf Alternate Phone: LCL - Ifct b-24S7 <br /> ❑ Insurance- Current: Cc.,Sv . ib.-1 Y -S.v jC,rc,n,L <br /> Page 1 <br />