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AiLoAiN, City of Orono FOR C TY pSE O Y <br /> 0 P.O. Box 66 Date Received: Ii —f <br /> 2750 Kelley Parkway <br /> / <br /> Crystal Bay, MN 55323 Permit# <br /> (952)249 4600—Main Approved B <br /> - �Estiov. � y: 4 <br /> (952)249-4616—Fax <br /> Amount$: / 3/' 36 <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.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 /> ® Residential n Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> n New _ Additional [ Repairs 11 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 I Owner Information: <br /> Site Address: 2500 'O..x... 9 c.1 <br /> Owner: b Zms�,�l Mailing Address: Z bc> <br /> city:Or .e Zip: <br /> Home Phone: (.051-- c)-761 Alternate Phone: <br /> Contractor Information: <br /> Contractor: l�3- 1�. '��� h; \'t Contact Person: -T V(2. e <br /> Address: ZS-S ,? £4a 6t- /71.4) State Bond #: Pe.(//75878. <br /> City: Zr`m,)sai►'1in Zip: S -3q1`:3 Expiration Date: /Z-3/-/cam <br /> Phone: le 1 Z-511-1- lO Z Alternate Phone: <br /> y Insurance - Current: /.4 f,P..'✓d cle) .,,„7 <br /> Page 1 <br />