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,-:----7--0- --., Cityof Orono FOR CITY USE ON Y <br /> VQ `, P. ox 66 Date Received: -07 — <br /> t 2750 Kelley Parkway <br /> 1" Crystal Bay, MN 55323 Permit# 4*7 <br /> /7- DZ� .3}`- <br /> . (952)249-4600-Main A roved B <br /> ''��>Ho'�i! (952)249-4616-Fax pp Y , f <br /> �� <br /> Amount$: �5O, , 1�-i' <br /> jiv <br /> CITY OF ORONO - PLUMBING PERMIT �r / <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: \33C) C'(-C. '(-1C'c 1 rir <br /> Owner: 'i:::S-C,an \C__,Y Mailing Address: <br /> City: O`(3nO Zip: 53C11 <br /> Home Phone: 101 Z - ,S t -QCT Alternate Phone: <br /> Contractor Information: <br /> Contractor: Pi rcj Cfd C.. co,.r r 0. „Inc Contact Person: �.‘c xm rc Grc 6� <br /> Address:-1U00 u5. 0110-- S -. #Q14 State Bond #: li3C.u -13? <br /> City: SA-. Lbr 5'-1Po K Zip: 52„Lo Expiration Date: ID I'�1 �17 <br /> Phone: G1c)2-2)kD-Cy-110 Alternate Phone: e152_,-G 2,0 12XC3 <br /> Insurance — Current: Pref ci . d rk.fp . c r C� SefvicerD <br /> aa, e p c d rc-�,r, .c.c.:,c� <br /> e <br />