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r � �p� City of Orono „ FOR CITY E NLY <br /> O P.O.Box 66 �t�tl�t� Date ReCeived: 7` / � <br /> 2750 Kelley Parkway permit# �<<P'��� �� � < <br /> y� �. Crystal Bay, MN 55323 ��� 2 g 2016 <br /> c? (952)249-4600—Main � qppnpVed By: <br /> �'�kEsnoa�' (952)249-4616—Fax � <br /> C1TY OF ORONO q�unt$: �`�• <br /> CITY OF ORONO— PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> httq://www.dli.mn.ctov/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 retum 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. Alt 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 OFPERMIT(Check At� That Apply) <br /> ,�Residential ❑ Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> ❑ New ❑Additional ❑ Repairs �place <br /> ❑ In Accessory Structure? <br /> `You will need arior aaqroval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site/Owner Information: <br /> Site Address:r'J0� �'�Y U� �� <br /> Owner:SU1��l In N���� Mailing Address: 5� �,� <br /> Ciry: ���(J Zip: ���7 <br /> Home Phone: �"f,J21�1�'� ��� Altemate Phone: <br /> Contractor Information: <br /> Contractor: ��(V Q�" Contact Person: ��� ' <br /> Address: I�I�LS ��IJ��Yk �VI VQState Bond #:�G�o��� <br /> City: �(� �� Zip:��12 Expiration Date:�Z I I <br /> Phone: ��r'rJ7i�7G1� - ��fI� Altemate Phone: <br /> Insurance-- Current: <br /> Page 1 <br />