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� • , <br /> ' , '�p� � City ot.Orono. RECEIVED FOR.CITY.USE QNL�Y <br /> O `�. P.O. Box 66 Date Received: C1 ��Gl'�� <br /> 'i 2750 Kelley Parkway SEP 1 9 Z016 Permit# ��� ' ��� � <br /> ��,' a � � Crystal Bay, MN 55323 <br /> ,�,1�, �=,' (952)249-4600—Main <br /> ''�:��f�'tE;;' (g52)249-4616—Fax Approved By: <br /> -_ _ �1TY OF ORONO <br /> — Amount$: 3 j <br /> CITY OF ORONO - PLUMBING PERMIT <br /> (All Commercial Permits Must be Approved by the State Priorto 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. Appiications 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 issuec� ONl_Y#o licensed pl�mbing Gontractors and to property owners <br /> residing in the dwelling. <br /> 4. When any new construction or r2modeling is involved, a separate building permit must be obtained. <br /> 5. Ail 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 /> ❑ In Accessory Structure? <br /> *You will need prior aparoval and may need CUP. (Per Orono City Code, Chapter 78, Article IV) <br /> Job Site / Owner Information: <br /> Site Address: z?Z S �� ?.ti,�en f' Ra'. QI'b'lO l� 553 3l - <br /> Owner: �ary� s�i�e�-� Mailing Address: G(�'y�5ei����L y►''�^�'-�l.1�' <br /> City: �/"pv�.a , /�lU Zip: 5 5�� <br /> Home Phone:�'.�2.— 83� '' S �`'I� alternate Phone: <br /> Contractor Information: <br /> Contractor; �h�61'1��i�EBP�f�� _ <br /> P�QOQ3�8 <br /> Address: �1��-��I1 : _ <br /> �70�dd��a�f , � , <br /> .. �: <br /> city; ��� 0������� . <br /> ❑ Insurance - Current: <br /> Page 1 <br />