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. ,, � <br /> /�� D� <br /> '�ON � City of omno Dau � - P��Yo�Ol�. �� <br /> � P.o.sox 66 <br /> 2750 Kdley ParkweY �Ip-Hc�nse�AC llebqininad�Form C�pkxed <br /> � Cryatel Bay,MN 55323 <br /> ����xFsx o¢�', (952)249-4600/Faz(952)249-4616 APP�'�BY(Tf�9u�t <br /> CITY OF ORONO—SEWER&WATER/GENERAL pEI�1VIIT <br /> (•Nots:S�pecmits maY n9�aPP�'+�bY�B��do►8 O�Cisl and/or Public Waks Depsrtmprt•) <br /> ��.I.p��'�'- M!V IIt fltbllrl�n Narfl����vvfTm�nd�n�v wn��..i..a..t a.1L—�t���-'e--"--•-- - <br /> ��1�i�AL�Q1�1Y1C���lA . ' . .. � <br /> 1. You may apply far utiiility peamits by mail ar in person at the City offices. <br /> 2. Mailed in appl�catians are subject to the postage and hsadling fee shown below. Permit cards will <br /> � be sent by return mail within 2 business days. <br /> 3. Permits are not valid antii.yon receive a permit card. <br /> 4. Work must not begin unless die permit card is available on the job sitc. <br /> 5. Utility connection permiLs may be issued to lfcensed contractors anly. <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 MAiiv v►�thout ezpress <br /> approval of tLe Public Worka Depsr�ent� Issuance of a permit does not grant this approvaL <br /> 7. All work must be done in accordance wi�State Code roquirements. <br /> 8. All work must be inspected befare it is covered. Call(952)249-4600,24+honr notice reqnired. <br /> TYPE OF PER�T � <br /> Chr�k.�ll That A�: . <br /> �Residential(MaY Recluu'e APPI'o�) ❑Commercial(Approval Required) <br /> (� New Connecrion ❑Additional Connection ❑R�Connection ❑Repairs �Disconnect <br /> ❑ Water Availability Cannection For Futun Hook-Up to Water <br /> JQ�J �i�P�OVVpLI'�033�38.t1�II: <br /> Site Address: �7� �qi✓�fi�/LL ,��G. . <br /> Owner: �9��0 j✓e�.ku1 f� �S� <br /> � '�' Mailing Address: . <br /> c��: ��oN6 z�p: <br /> Home Phone: Alternate Phone: <br /> Co�trac�or�iiforin�tion: <br /> Contractor: _U,S;�� L��x�`1'Ms�, �N�. Contact Person: �'�� 6d�rQ-�,�6 <br /> Address: 29/� ,Q,is� , State License#: <br /> - , <br /> City: .4.�'ti�✓6S Zip:��� Expiration Date: <br /> Phone: ��� y�e. /dsS Altemate Phone: _�� �/9 f�.t f►'S" <br />