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'FOR CITY USE ONLY <br /> O,¢d�O City of Ol'ono DateReceived; Permit# <br /> P.O.Box 66 <br /> ` 2750 Kelley Pazkway ❑In-House SAC Determination'Form Completed <br /> .rj, �;',.� Crystal Bay,MN 55323 <br /> ?��� (952)249-4600 Approved By(If Required); <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department+) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoalication is received) <br /> GENERAL INFORMAT�ON <br /> 1. 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 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. 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. Cali(952)249-4600,24+hour notice required. <br /> TYPE OF PERIVIIT <br /> �� � � �� �� Ch�ck At1.That A . 1 �`�� � � <br /> �'Kesidential(May Require Approval) ❑ Commercial(Approvai Required) <br /> �New Connection ❑Additional Connection �Re-Connection Q]�Repairs ❑Disconnect <br /> Job Site/-Owner Tnformation: ' <br /> Site Address: � <br /> Own� Mailing Address: <br /> City: Zip; <br /> Home Phone: Altern�one: �/��,�4������/ <br /> Contractor Info"rmation: <br /> / l , ,i.f� �� <br /> Contractor: �n_ y�.� Contact Person: <br /> Address: ?���� ,/'J ,G� State License#: �� <br /> City: C�,�� � Zip:�v��Expiration Date: �� ,�f � ` <br /> Phone: ��o?dJ ��v� Alternate Phone: <br />