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�p� City of Orono FOR CITY USE ONLY <br /> � O P.O. Box 66 Date Received: '4'��p � I) �' <br /> C 2750 Kelley Parkway <br /> ti <br /> Crystal Bay, MN 55323 Permit# Z f,�(�— (�4) �1�� <br /> F�� �c,` (952)249-4600—Main A roved B � � J <br /> kESHo� (952) 249-4616—Fax pp y' }� � <br /> Amount$: � . � � <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 /> ❑ 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: � � �� ����-�� ��'' J `/ � �'�� <br /> Owner: � `� %) L'�J` Mailing Address: <br /> City: U/vy � � Zip: ,� �S� 2 ? � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> ; 'L� <br /> Contractor: �G�t11U s G��J'1�'' ���ontact Person: � �'�00� <br /> Address 7 �°`� w y� �^ S%����y State Bond #: <br /> City: i�����/'��=� ������ Zip: �� ���-� Expiration Date: <br /> Phone: �1 � ��� �� `' Alternate Phone: <br /> ❑ Insurance — Current: <br /> Page 1 <br />