Laserfiche WebLink
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
• I # <br /> moo, City of Orono FOR CITY USE ONLY�t�'4-I VED <br /> O P.O. Box 66 Date Received: JUL2750 Kelley Parkway Permit# V 3 1 2b>'/ <br /> �� . Crystal Bay, MN 55323 <br /> , Iti\jpicfr.Fe cj (952)249-4600—Main Approved B C/N F <br /> 4k -t (952)249-4616—Fax pP Y O ORONO <br /> Amount$: <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dli.mn.gov/CCLD/PDF/pe plumbplanrevapp.pdf <br /> GENERAL INFORMATION <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be <br /> reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED ON THE JOB SITE. <br /> 3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or remodeling is involved, a separate building permit must be obtained. <br /> 5. All work must be done in accordance with State Code requirements. <br /> 6. All work must be inspected and air tested before it is covered. Call (952) 249-4600. <br /> (24-48 hour notice required) <br /> TYPE OF PERMIT(Check All That Apply) <br /> Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New [' Additional ❑ Repairs ❑ Replace <br /> ❑ In Accessory Structure? <br /> *You will need prior approval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: 15 O Orono Ocat. Dciv' --, Q rov`o , t"k.) 5 S3s6 <br /> Owner: �a.V- , MA-GA Mailing Address: ,L.A.„Je7G 6-eovtAA.6 I.C.-o,.tn- <br /> City: 6 ro►-'O Zip: 55 35( <br /> Home Phone: 191z..L4 (a 10557 Alternate Phone: <br /> Contractor Information: <br /> Contractor: Champion PitAmidins Contact Person: Rebecca (Ch*is}ian <br /> Address: 3G1Medd Rd State Bond #: PCOc c 34$ <br /> City: £acorn Zip: 551a3 Expiration Date: <br /> Phone: G51-SGS-1340 Alternate Phone: <br /> ❑ Insurance -Current: <br /> Page 1 <br />