Laserfiche WebLink
� <br /> / <br /> Y <br /> CI'Y`Y�—'�ONLY <br /> �0�0 City of Orono �ce 1t«xived: p�i� <br /> P.O.Box 66 <br /> 2750 Kdley Parkway Q I�►-I�i�SAC DtterinineL�Form Completed <br /> a Crystal Bay,MN 55323 <br /> s�. , <br /> �,�k�sH o¢�, (952)249-4600/Fax(952)249-4616 App�ov�BY�'fte9u�: <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERNIIT <br /> (•Note:Sane pamits maY re9uae appraval by the Building O�ccial aod/or Pub6c Works Departmp��•) <br /> ��.Z.p���$- Mtv be m6iect�n M.�h.r��sa.ew...r r..;.....a�,ti... ���_�e--"- <br /> GBAfERAi;INFO�IA�'I�l� . �.� ` . . . <br /> 1. You may apply for utilit}+p�amits by maii or in ptrsoa at the City offioes. <br /> 2. Mailed in applications are subject to the p�stage and handling fee shown bclow. Permit cards will <br /> � be sent by return mail within 2 business days. <br /> 3. Permits are aot valid nntil.yon rereive a permit card. <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> 5. U�iility connec�ion permits may be issued to lfcensed cwati�ctors only. <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 MAIN withont ezpress <br /> approval of the Publlc Works Departmen� Issuance of a permit dces not grant dris approvaL <br /> 7. All work must be done in accordance with Sta#e Code reqnirements. <br /> 8. All work must be inspected before it is covered. Ca11(952)249-4600,24+hour notice required, <br /> . TYPE�OF PER�IT � <br /> Ch�k.�11 That A: <br /> �Residential(MaY Require APPmval) ❑Comm�cia](Approval Required) <br /> ❑New Connection ❑Additional Connection ❑Re-Cannection ❑Repairs �Disco�� <br /> ❑ Water Availability Connection For Futur�Hook-Up to Water <br /> Jcc�v�b ��t�/Owper L�or�ation: <br /> Site Address: �/(�� ��;,a���.,�,�> C� - <br /> v�i <br /> 0��'= Mailing Address: . <br /> City: �p; <br /> Home Phone: Alternate Phone: <br /> Contrac�or Tii�ormation: <br /> r' L� G <br /> Contractor: r�1��-t. �wc�re�C��t�S� Contact Person: �r� � <br /> Address: '�`� r���nr/l Rd State License#: <br /> City: ��� l�e-G Zip:S'S3p9 Expiration Date: ��` �-� - �� <br /> Phone: ��3 �{7�-��i�t Alternate Phone: _��3-a O 7-� ��� <br />