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� ��ONLY <br /> '��N � City of Orono Daoe 1t«xi�: Pa�rii# <br /> � � P.O.Bmc 66 <br /> 2750 Kdley Parkway O T�►-Honsc�AC Determroe4ion Foim <br /> y Cryatal Bay,MN 55323 � <br /> `�1,�k�sH o¢�, (952)249-A600/Fsx(952)249-4616 APP�'�B3'��9���: <br /> CITY OF ORONO—SEWER&WATER/GENERAL PEI2IVIIT <br /> (*Note:Some pamits maY n9�ePProval by We Building O�ccial and/a Public Workk�D�t�� <br /> �ALL PEIt11'II7"S- Miv be s¢bietl M Mef��ervirev ind�wiv uM 6.i...��.t�.�--"'---"_"_- <br /> GfiI�TEItAi.INFO�ATT�l� `. � . . � <br /> 1. You maY apply for utility pemuts by maii or in pcison at the City offices. <br /> 2. Mailed in applications are subject to�e postage and hsadling fee sho�vn bolow. Permit cards will <br /> � be sent by return mail within 2 business days. <br /> 3. Permits are not valid antil.yon r�e s 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 lfcensed c.ontractors anly. <br /> 6. Contact the Public Works Dep�ment(952-249-4600j for utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN wjthont ezpress <br /> approval of tLe Pnblic Works Departmen� Issuancc of a permit does not granf dus approval. <br /> 7. All work must be done in accordance with State Code requireme.nts. <br /> 8. All work must be inspected before it is covered. Call(952)249-4600,24+�our eotice required. <br /> . TYi'��OF.PER�T . <br /> Chieck AIl T'�iat A: <br /> �Residential(MaY Require APproval) ❑Commercial(Approval Require� <br /> �New Connection ❑Additional Connection ❑Re-Connection ❑Repairs �Disconnect <br /> ❑ Water Availability Connecctiiion For Future Hook-Up to Wattr <br /> Jofi �i�/(Jvva�In�or�a#ion: <br /> Site Address: �� SA�vc�i�i%/ �i2. . <br /> Owner: �ID h/��y .���. Mailing Address: . <br /> , <br /> City: ��lDivO Zip: <br /> Home Phone: Alternate Phone: <br /> Con�r Ti�fo�nation: <br /> Contractor: U.cS,/J7. �AV�✓L �Nc. Contact Person: �,E'� �x.��v� <br /> Address: 29/� �;�v��� �. State License#• <br /> City: �H%�✓L Zip:�'d� Expiration Date: <br /> Phone: �s'/, yBD, /3�'" Alternate Phone: _!e/a� 9/� y3y�' <br />