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11/24/2p15 TUE 13: 95 FAx 612 822 5G08 A1' p MdetOY Plumbimq ���Z�00� <br /> � JOB3A�6A�69 crrv s�o <br /> CC$50.85 Cicy otOrono �n�5 �`�d� <br /> �.o�f N.o,B�x 66 aota Raco��� i�� o� <br /> � � 2750 Kcllcy Parkway � <br /> y Cryslal Day,MN 55323 APProvnd By: Amount$:� � <br /> (951)249-4600-Muin <br /> �. (952)249-4616-rax <br /> CYTY OF dRONO—PLUMBING PERMIT P08fi0266 <br /> ��{qk sHo��``` (All Commercial Permiu Must be Approved by the St�te Prior to City Apptoval) <br /> � htt ://www.dli.mn. ov/CCLD/PD�/ e �umb lanreva . df <br /> ,�,C`rF;�f,�RAL INFORMATION <br /> 1. Xou�ay apply for plumbing permiu by mail or in person at the Ciry of�ices. Applications will be <br /> reviewed and a permit will bt issucd within two working days. <br /> 2. Pcrmit cards will be sent by retum mail after a review is completed. PERMITS A�NOT <br /> VALIA UN'!'II,XOU RECEI'VB A pEItMIT. WORK MUST NOT IiEGIN UNTIL THk <br /> PERMIT CARD 15 POSTED ON THE JOB SiTE. <br /> , 3. Plumbing permitS m�y bc issucd QNLY to licens�d plumbing ContraCtors and to p�operty owners <br /> residing in tl�e dwelliiag. <br /> 4. When any ntw construction or rcmodeting is involved,a separate building perniit must be <br /> ; obtsincd. <br /> � 5_ All work must be done in accordance with State Code requuements. <br /> 6. All work must be inspected ond air tested before it is covered. Call(952)249-4600. <br /> I (24-48 hoar noNce required) <br /> ;���,����;; , , ,, � � , 'TYPE';OF';PERMIT , , � � ' <br /> ' ' ' � Check All T�iat Pi, 1 � � �� � <br /> ❑� Rtsidcntial ❑Commcrcial(Approval Required) , <br /> ❑New ❑Additional ❑Repairs �'Replace <br /> , � <br /> ❑ in Accessory Structuire? <br /> wYo�will neeU orior auurovs►I and may nccd CUP.(Pcr Orono City Codc,Chaptcr 78,Article IV) <br /> � <br /> ,Jqb!-Site/Owner'Intoxm'aitio�l:�`"�'' ,��� <br /> sitc Address: 555 Oxfard Rd __ <br /> ' Owner:COt'IC�/ KIItZI(2 Mailing Address: $��� <br /> I <br /> �1�,: Long Lake Z;p: 55356 <br /> 952-476-QQQ 1 �--�� <br /> l�ome�'hone: Alternate Phone: <br /> �,�,�b�1tQaCto,r,pA�L����1�ni�:�,p;V'�,�i�J��'�bl';�I�i���l�vvi i l;'nP;Lli?� Iil�'�illl��' <br /> nin��,� �� �ii � , <br /> , „ ,,, ,,,N'�r ,� `°``''�sg �°� c� Jennie Wood ' <br /> Sen Frankl�n Plumb�n Co�tact�ersor�: ` <br /> Contxactor: ; <br /> 5718 Intemational Pkwy PC643703 { <br /> Address: State Bond#: � <br /> ���y: New Hope Z�p:MN Expiration Datc: � <br /> 612-z38�9709 '� <br /> Phone: Altcrnatc Phonc: i <br /> �� � Tnsur�nce—Currenl: Owner's Insuranee � <br /> 1 <br />