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,-'SON City of Orono FOR CITY USE ONLY <br /> O P.O. Box 66 Date Received: <br /> 2750 Kelley Parkway <br /> Crystal Bay, MN 55323 Permit# <br /> \ye,7'FfSNOQ-�C, pp(952)249-4600-Main Approved By: <br /> \' (952)249-4616-Fax <br /> Amount$: j s', FJ 0 <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 /> I-4 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> El 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: S 76 6 cep.'‘O Orc.lwd z6 <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: -a* -is 1—\v..„...,;\vn 1-,.L Contact Person: �r vc..rN ve"k-&-,\ <br /> Address: Z5S 98 10“2-' 41w State Bond #: i .(07.378 <br /> City: 'c i0-iwr -rhe,,, Zip: SS 3 Expiration Date: /Z-3+- f 4- <br /> Phone: (Q 12- 544'- /SZ Alternate Phone: 77(.93- YDS - Le i S t <br /> Vic Insurance - Current: A196fer r) fi4licoc.,L , e drn,a,ly <br /> Page 1 <br />