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7,4:0/\ City of Orono FOR ITY USE O LY <br /> / YO\ P.O. Box 66 Date Received: -2.1—/ <br /> 2750 Kelley Parkway Permit# , 017---01)$7� <br /> Crystal Bay MN 55323 <br /> kc, (952)249-4600-Main Approved By: /iSH0°' (952)249-4616-Fax <br /> Amount$: 53. 0 s--- <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 <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 /> aesidential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> Jew ❑ 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:x^150 C-05CP 'IPcj n t 1Z..8 <br /> Owner: S17 4 ' '',ck Sehuit— Mailing Address: Q.1t5 cs.a. vo1,0. 1 , <br /> City: %10(N Zip: 5 5 3 <br /> Home Phone: ..Q 2-151- 2105 Alternate Phone: <br /> Contractor Information: <br /> Contractor: c <br /> 4f Mg.clwri . n ,_ Y>.C� Contact Person: ASIO.A..1 <br /> FOa S t <br /> Address: \\o`N\\. tkb.eJ/deal r N E State Bond #: 'W..,\OA-55 5% <br /> City: r`t t, Zip: Mt\ Expiration Date: — <br /> Phone: ll./3-14ko •V1' 1 Alternate Phone: R F OUST D cfAxrn4.El ij- c4\.1.M\ <br /> ❑ Insurance– Current: <br /> Page 1 <br />