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���� City of Orono Date Recei�eed. ��,-��/7 ���� <br /> ; P.O.Box 66 <br /> ; 2750 Kelky ParkwaY ❑In-l�onse SAC Dec ' �o ��� <br /> y ,Z-J Crystal Bay,MN 55323 /� � <br /> ``t�A i s H o¢��` (952)249-4600/Fa�c(952)249-4616 Approved BY(If Rtquired); �d/� � <br /> CITY OF ORONO—SEWER&WATER/GENERAL pERMIT <br /> (*Note:Some pamits may require approval by the Building O�cial and/or Public Works Department+) <br /> �ALL PERMI7'S- MgV bt SUbicS**�fnrfh*r r�virav�nd�nev nnf iu iccnrtl o�6�n fLs n..;+-- <br /> `on' �t�ri.� <br /> CEI�TE�tAL IlVFORMATiOI� <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fee shown below. Permit cazds will <br /> be sent by return mail within 2 business days. <br /> 3. Permits are not valid until yon receive a permit card. <br /> 4. Work must not begin unless the permit card is available on the job siie. <br /> S. Urility connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-4600j for utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ezpress <br /> approval of the Pubtic Works Department. Issuance of a permit does not grant this approval. <br /> 7. All work must be done in accordance with State Code requirements. <br /> 8. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. <br /> TYi'E OF PER�T <br /> Check All That A , <br /> (�Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection �Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Connec�ion For Future Hook-Up to Water <br /> Jo�i Si��/Owner li�o�ation: <br /> d . /�Site Address: � -� ' <br /> Owner: Maili.ng Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor In£ormation: <br /> (� �� / f <br /> Contractor: v� .S Y-�-c� Contact Person: <br /> Address: ��/� �'��� �' State License#: <br /> City: %� Zip: Expiration Date: <br /> Phone: �/�f� D �. �� Alternate Phone: <br />