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w <br /> � FOR CITY USE ONLY <br /> /0-�-. <br /> // � City of Orono <br /> //O�' �O� P.O.Box 66 Date Received: Permit# <br /> �� ,,;,, � � 2750 Kelley Parkway <br /> �� �rl�, - rovedB Amotimt$: <br /> � 11 � Crystal Bay,MN 55323 APp Y <br /> �'�t�"�'�,;'-,}.f�` (952)249-4600-Main <br /> �`����-'� (952)249-4616-Faac <br /> �__ _ <br /> CITY OF ORONO — PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Prior to City Approval) <br /> htt ://�vH���.dli.mn. ov/CCLD/PDF/ e lumb lanre��a . df <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 <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS 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 <br /> 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 <br /> Check All That A 1 <br /> 0 Residential ❑Commercial(Approval Required) <br /> ❑ New ❑Additional ❑Repairs � Replace <br /> ❑ In Accessory Structure? <br /> *You will need nrior aparoval and may need C��P.(Per Orono City Code,Chapter 78,Article IV) <br /> Job Site/Owner Information: <br /> s�te aaareSS: 990 Partenwood Road <br /> oW„er: Bruce Engelsma Mailing Address: 990 Partenwood Road <br /> c;�,: Orono Z;p: 55356 <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Select Mechanical Services Dale Gaspard <br /> Contractor: Contact Person: <br /> Address: 6219 Cambridge St s�te sona#: RL1563042 <br /> St Louis Park 55416 09/10/11 <br /> City: Zip: Expiration Date: <br /> Phone: (952) 926-4488 plternate Phone: �952) 215-8159 <br /> ❑ SFM Select Insurance Company <br /> Insurance—Current: <br /> 1 <br />