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. <br /> Cl'Y .'t1ffi�S ONT,�' <br /> g�N � City of Orono �te Rux;�eed: Pe�t# <br /> � ; P.O.Box 66 <br /> 2750 Kdley ParkwaY O������ninebi�Form Comple�ted <br /> a Crystal Bay,IvW 55323 <br /> y`"�,�x�s�04�,� (952)249-4600/Fax(952)249-4616 ApPmu�'ed aY�ff RaNn'�d;l: <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERNIIT <br /> ("Note:Satu P���Y n9uine approval by the Build'mg Officisl and/or Public Works De�o�t•) <br /> (ALL PERM11'S- 1Nav be sabiat tn fnrth �ncview.ed m'v�nt 1M i.....r���.x.....a:...w.�e.�..�, <br /> GfiI�TE�t:Ai,INFORMAI'IOl� , . . . <br /> 1. You maY aPP13'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 cards will <br /> � be sent by rehun mail within 2 business days. <br /> 3. Permits are not valid antil.yon receive a permit card. <br /> 4. Work must not begin unless the petmit card is available on the job site. <br /> S. Utility conna�ion permits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-4600j for utility stub as-buitt locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN wfithout ezpress <br /> approval of the Pubtic Works Department. Issuance of a permit does not granf this approval. <br /> 7. All work must be done in accordance wim State Code requirements. <br /> 8. All work must be inspectrd before it is covered. Call(952)249-4600,24+honr notke reqaired. <br /> . TYPE�OF PER�T � . <br /> Chi�k�11 That A�: ,. <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Connection ❑Additional Connection ❑R�Connection ❑Repairs �Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Jc�� �3te/Owa�In�o�ativn: <br /> Site Address: �74 �'A�,��� D,2 , <br /> Owner: L�i'���0 jY�L'L�f �i�s� Mailing Address: . <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Cori�r Tn�orm�on: <br /> Contractor: /�.�/Z1, �4SU�I+L lN�. Contact Person: �,� ��i�✓L <br /> Address: 29 � State License#: <br /> City: /�� N. Zip:�� Expiration Date: <br /> Phone: G s/ y�o./��� Alternate Phone: L,/7 �/9 y,�y3' <br />