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/ �. <br /> � � <br /> R CY'1`Y UffiT ONLY <br /> $��� City of Orono Dace R«xi�ed: pamit# <br /> �� P.O.Box 66 <br /> 2750 Kelky ParkwaY O In-Huuse SAC Determinaqion Fmm Compl�od <br /> y ,� Crystal Bay,bIIV 55323 <br /> 1�k�SH04"�L` (952)249-4600/Fax(952)249-4616 Approved By.(ff'Requind); . <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some peamits may requine appravai by the Building Official and/or Public Works Departrnent�) <br /> �ALL PERMl7�'- 11I�V be 8ublett tn forth r r��ew aod mav wnt hr�acend o.i�'n N�....,�:�..e....:. • ... <br /> ~�:,�:��..� <br /> GfiI�1ERAL INFORMATIOl� <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mailed in applicarions are subject to the postage and handling fee shown below. Permit cards 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 site. <br /> 5. Utility connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-4600)for utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MATN without ezpress <br /> approval of the Public 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 /> TYPE OF PER�vIIT <br /> Check All That A: i. <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Connection ❑Additional Connection ❑Re-Connection ❑Re a�rs <br /> p ' ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Jo� Site/()vvncr in�o�ation: <br /> Site Address: � �� �'I/� <br /> . p� <br /> � Owner:��C �f' C�'1�C(� Mailing Address: O(� �-f <br /> ��Ty: �r�no Z�p: �s 3 � l <br /> Home Phone:�i a�a1� "v 0 a � Alternate phone: �,� ]�'1�(/ ��S <br /> Con�ractor Information: <br /> / <br /> Contractor: � � , Contact Person: " °�., J�' <br /> Address: �t� �% �d State License#: � � � t0 <br /> City: Ct Zip���xpira.tion Date: � o�`3 f ` I� <br /> Phone: � ���[ �� ��� � Alternate Phone: �LP�'L���" q�� <br />