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� t , <br /> � <br /> ;1��QRaGTiTi'-�SE.<�NLY <br /> �,����� City of Orono T�ate<R�cei�,ed:� � � �Permit-# � <br /> P.O.Box 66 <br /> 2750 Kelley Parkway [���=k��1�'��C'ID��n��h+m��iorm` 'Gomp3eted � <br /> � �' � Crystal Bay,MN 55323 ° ' <br /> � (952)249-4600 �1p��ued�3��Ffite9uire#l� . <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERNIIT <br /> (*Note:Some permits may require approvai by the Building Ofticial and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued�vhen the aoolication is received) <br /> "���������.' <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 retum mail within 2 business days. <br /> 3. Permits are not valid until you receive a permit card. <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> 5. Urility 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 MAIN without express <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. Al]work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. <br /> ���.���`���`�' <br /> ��`$'���.���t�.` <br /> �Residentia](May Require Approval) ❑Commercial(Approval Required) <br /> r � <br /> �ew Connection ❑Additional Connection ❑Re-Connection ❑Repairs �Disconnect <br /> fci�`r5'�#e:/}Cfla�r.;1��c�rtn�tata�i:: ' <br /> . <br /> Site Address: � �(�� �����GJOO� �-�, • <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> °Gor�tractor:Ix�for�tian: <br /> Contractor: �" �S��K '`� S � Contact Person: � J rl�N C`c/� <br /> Address: ��� � � '2d, l� State License#: �`� F� � <br /> City: �10 v�ci1 Zip:S`S-��Expiration Date: �Z �' <br /> Phone: C �� �7�' �/ S j Alternate Phone: l b �� , ���-� 7�S <br />