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� �pN City of Orono FOR CITY USE ON� ( <br /> O P.O. Box 66 Date Received: _ ��Z.�`7 t� <br /> 2750 Kelley Parkway � ._� <br /> 1. ,, Permit# c-(.1( (� �j��' <br /> Crystal Bay, MN 55323 ,..�� � �> > <br /> �F� �` (952)249-4600—Main � <br /> �KFSHp�� (952)249-4616—Fax Approved By: � � <br /> "� Amount$: c'C� � �7--�`> <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.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 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 /> �Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs � Replace <br /> i <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:��'`l�./ � ►`� ��`� ��Mailing Address: vJ� l �rGC L � <br /> ��ty: �`c��la Z�p: 5535� <br /> Home Phone: /�����v��✓U� Alternate Phone: <br /> Contractor Information: <br /> Contractor:� I V ,� � ��lJ i Contact Person: ��� /��l ��w <br /> Address: (���D ���1 W��� � v State Bond #: C�(Il"t,`i � 3 <br /> City: ��� ��Vl. Zip:���-��� Expiration Date: I�/3/ / � <br /> Phone: / -���� v � � Alternate Phone: <br /> �Insurance — Current: <br /> ���S <br /> Page 1 <br />