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� � • <br /> �� <br /> + r <br /> � �pN City of Orono FOR CITY USE ONLY <br /> O P.O.Box 66 Date Received: r-f� -l�O <br /> 2750 Kelley Parkway permit# 7 n I(0 '���p� <br /> y �. Crystal Bay,MN 55323 --�. .r <br /> �' �,�c? (952)249-4600-Main qpp�oved By: <br /> ��'�fSHO (952)249-4616-Fax <br /> Amount$: � <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commerciai Permits Must be Approved by the State Prior to C'rty Approval) <br /> http://www.dli.mn.aov/CCLD/PDFIpe piumbplanrevapp.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 finro working days. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALtD <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-d8 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 arior aqproval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: �?� �l��" �V� <br /> Owner: t t� t``�t���t f Mailing Address: 5��i ���l Gg�-�'-� <br /> City: C�1(�TYI� Zip: C��Q <br /> Home Phone: ����'� ��� r e1���Alternate Phone: <br /> Contractor Information: <br /> Contractor: .�-����'t�l/I ,���f Contact Person: �.i �'1����i <br /> Address: � �j� � ���t J • State Bond #: �/1����� �D�� -'�> C7 <br /> City: ������� a Zip: ���� Expiration Date: ��I � <br /> Phone: ��J�'���� " D� �Z- Alternate Phone: <br /> ❑ Insurance —Current: <br /> Page 1 <br />