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�Q� City of Orono FOR CITY USE ONLY <br /> „ O P.O. Box 66 Date Received: _ �� - r:,1,�"-�`7 <br /> 2750 Kelley Parkway <br /> % � <br /> Crystal Bay, MN 55323 Permit#_ ,�.,���f � ` Y�j(� <br /> F c> (952)249-4600—Main <br /> �A'FESH04'� (952)249-4616—Fax Approved By:__ �'� <br /> Amount$: ( � . S�� <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> http://www.dii.mn.qov/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 contracto�s 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 <br /> p PVB� <br /> ❑ New � Additional ❑ Repairs <br /> ❑ 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: !'"�� � ��� � <br /> Owner: Mailing Address: <br /> City: (�(`ov�o Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: G`�L i v��-� ��.��1 .�`� Contact Person: (�/I��f��S <br /> Address: �'I(Z�I �'�l�cn�;e, C.L �,1 � State Bond #: ��(��{ �� <br /> City: ��- �� �L���� Zip: 553�� Expiration Date: �Z�3� ��� <br /> Phone: �G �- ��l �- 7� � � Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />