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O�c-04-2001 12:44pm f rom-CITY OF ORONO +1522404616 T-YO7 P.001/001 F-305 <br /> �v�.�vu aaavi� <br /> CITY OF ORONO A.PpLICATYON FQR UTILTTY PERNIITS <br /> BaY 6d(275d KcUoy Parkwa,y) S�WER/WATER <br /> Cryst�l Bxy,11SN SS323 <br /> ti , . <br /> � GENERAL INFORMATYO�V <br /> 1. Yoa msy sppYy for utilhy pamits by ma(1 or i��persan at the Ciry offices. <br /> 2. Mai)ed!a�ppHcstioaa ere s�ebject to ttu postage and haa�in�fet st�own below. PaYxit cards will be cent by <br /> return mail tha sama day tha appliauian is rec�:tved. <br /> , 3. Pacmib are aot va1W uatil yon re�efve a petmit eard. <br /> 4. Waic must noc be�in unlesa t�e permit oard ia availablo on the)ob:ite. <br /> S. CJtility connectian pamits may be isgued to liceased aoamscwrs only. <br /> � 6. Contact the Public Works Faoge�eat (45?•249-�600} for utility awb �-built lncations. p0 NOT <br /> @CCAVATE IN ANY STKEET AND DO NC�T TAP ANY MAIN withont express spproval of the Public <br /> Warics I)egartmeat. Lssuence of a permft does na�ant thls approvnt. <br /> 7. All wark muet be done in accor�a with Sta e Code requiremeats. <br /> , �. AA wask meist be inspeate4 before it is cov�ere�1. CaII(932)Z49-4600. <br /> ?A hour oatice reqtired. <br /> Jas sr�,�wna�ss: l�l4a �no�Jl�,,..�,�e:�c. <br /> OCoupfutCy T`ype; � R�idenHsl COmmei'Cial <br /> �+ruer'�t N��; PLoae Nambee: <br /> Ma��Addra�: . Cih,: � . <br /> COntractor'iN�mC: n���.�Y.� ��.� P6oneN�bs:�-°�3�-�?-1� <br /> Msilin�Addres�:15nn1�r�,���.� f2.A_ City:M:c�.re.�h,�wYw7�o: S —' <br /> P�12MT'Y'7'YPE �:sc.a�.••� <br /> .�Muaidpal Sewar C�ee�e�i�n(�35.00 per stub) $ • <br /> 11�� pipe sia inches; msterial Schcdulc 40 eir tested; cast iron <br /> � SAC Charge(2000 rate�1�150.04)must accan�pnny nIl aewer ptrmit applications unless prepaid <br /> �' � If not prepa�.d,a sew�er connec�lott permit will�wt be issu�d. <br /> 1Viunlcipal'1� ter Connscti n(x35.00 per stub) $ <br /> pipc s' in ea: matcrial copper; other <br /> WATER ME m piclocd up and paisl for at City Hall. <br /> Water meters mn: e sct snd eealed by (►rono Water Deputm�nt (952-?�49-4600) npon <br /> oompledoa of inet txUation. . <br /> REQ um sctbacks from drain field and septic t�nks=75' <br /> REQ setb4c $om acwer line=z0' . <br /> l. ' Subtotal of abave peruait requa�tcd $ . . <br /> 2 State Surcbeate $ .50 <br /> Tbe Steis Build'utg Code Dlvis�nn 9urc6a�ga o�'S.SO per persalt must be <br /> i�olvded for e�oh weli,sewer and water eonne�tion permit rcquastcd. <br /> 3. Postage.&��aadl}ng(Orily mail-in appJications) � 1.50 <br /> 4. 'POTAL PERMIT FEE(add linos 1-3 sbove) S <br /> Tbc uaders�asd henby appli�s to thc City of thnno for issuancx of a Utility Permit,agrccs to do <br /> ell worlc itt sttiet aocord�ttet with the a�diaan�:es of the Ciq+ and tbe rt�ulations of thc Statc of <br /> Minnesota.aad carufies tl�at all statemeats made on this'epplicatfon are eomplete,true snd eorreet. <br /> �Si�ns�u+eofApplic���'n �G.�s��'+ llaem� /`/3-0� _. ; <br /> :�:.,,� , <br />