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s ' <br /> pCity of Orono FOR CITY 1S�E ON�Y, 0 <br /> City <br /> Box 66 Date Received: <br /> I <br /> 2750 Kelley Parkway <br /> �� ) Crystal Bay, MN 55323 Permit# (" y (� 11K�� <br /> (952)249-4600-Main <br /> �\,4kt S„oat-- (952)249-4616-Fax Approved By: <br /> Amount$: (5314 . ©O <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http:l/www.dli.mn.dov/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 /> 2,1 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] <br /> 4 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: 68 D bractca ?Cr-14-- Coa.e_ <br /> Owner: Ad- ,S hi c. Mailing Address: 9`/07 c,1-h ruare -}--, - .CD2. <br /> City: Tdi a 1/Le- Zip: La61-41-1 9 <br /> Home Phone: -q( .-- -18D- 2`i LiL/ Alternate Phone: <br /> Contractor Information: <br /> enc. <br /> Contractor: 3(,lr) d eer kGil c- 'l,(4, Oji,1N Contact Person: ` (,tO <br /> b J Pl ur n1D.,ray Conk-k c-►te- LI kersti •. Ct.CaUz19 <br /> Address: eZ l�� State Bond #: l) V3Z' 114.031-- <br /> City: /uI n.e_ Zip: . `"5-1-41-/ ''''t Expiration Date: I ) i 17-o113 <br /> Phone: q(03 - 73 - 28.446 Alternate Phone: <br /> VI Insurance - Current: - Cop.) a� 6(5-11'fi --e f) 1 e <br /> Page 1 <br />