Laserfiche WebLink
r . .� <br /> ��- t�o c�T�' ��oivc,� � 15`� <br /> � �O�� Clty Of Oi'ORO Date Received���—!�ermit# d��'- <br /> � ; P.O.Box 66 <br /> i ; 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> ���, 1� ,�f Crystal Bay,MN 55323 <br /> \\A�SHo4��� (952)249-46()0/Fax(952)249-4616 Approved By(I�'Requ'vedj: <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some pemiits may require approval by the Building Official and/or Public Works Department') <br /> (AI.L PERMTI'S- Mav be subiect to further review aod mav not be issued wLen the ao�lica8on is receivedl <br /> GENERAL INFORAqATIOI� <br /> 1. You may apply for urility permits by maii 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 rehun 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 connecrion 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 Worizs 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 PER1viIT <br /> Check All That A i <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection ❑ Re-Connection �Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner In#'o�ation: <br /> �— � �e1 <br /> Site Address: �� 7�� ����r�� l.�'v� <br /> Owner: �?>� �t 1���/� Mailing Address: S��-� <br /> City: �X C�;�S��' Zip: �S�S 3 j� <br /> Home Phone: �j� ��7'��Ua Altemate Phone: <br /> Contractor Information: <br /> Contractor: ��'���.�,lr��nK�h i'��`��C"ontact Person: �I/ p�G� ��r�,�� <br /> 1 n�.rvt��lM at / ,t�a ilC- � <br /> Address: �7 15.3 `' � State License#: �� �`� 7d> <br /> City: /V(Y✓ � Zip:SS`/,�� Expiration Date: ( a-`3 �'-�-6 <br /> Phone: �/ ��� 3���U� Alternate Phone: 7( 3"�`�S����G� <br />