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� FOR CITY USE ONLY <br /> O¢D�O City of Orono Date Received: Permit# <br /> P.O.Box 66 <br /> 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> � �'.►�. ; Crystal Bay,MN 55323 <br /> ' �.;`o (952)249-4600 Approved By(If Required): <br /> �4bppe . <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Of�icial and/or Public Works Uepartment*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when t6e aaalication is mceived) <br /> GENERAL INFORMATION <br /> I. You may apply 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 return 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. Utility 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. All work must be inspected before it is covered. Call(952)249-4600,24+hour notice required. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> � Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> � New Connection ❑Additional Connection �Re-Connection � Repairs Q✓ Disconnect <br /> Job Site/Owner Information: <br /> Site Address: 2118 Shadywood Rd <br /> Owner: <br /> Longmann Builders Mailing Address: 9401 Creston Place <br /> City: Eden Praire Zlp; 55347 <br /> Home Phone: �612) 801-0526 Alternate Phone: <br /> Contractor Information: <br /> Contractor: Scherber Co LLC Contact Person: Corey <br /> Address: 11415 valley dr State License#: RLI 612074 <br /> rogers 55374 01-01-09 <br /> City: Zip: Expiration Date: <br /> (763)497-1100 (612) 282-7403 <br /> Phone: Alternate Phone: <br />