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� <br /> � <br /> ,,, _-�-�_" () I7'Y �FE�f1,1' Q� <br /> ���.�., City of Orono l��ei �#ed��s�" O �� <br /> P.O.Box 66 � <br /> i:� '; 2750 Kelley Parkway ❑7�-I3ouse S C .Fomx+Complcated <br /> ;, � 1 Crystal Bay,MN 55323 <br /> f r��"��f��� (952)249-4600/Fax(952)249-4616 A�+mv�ed Sy(ti�equ�asdj: <br /> ti '�RLlXD �.i . ... <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 furt6er review and mav oot be issued when the aoolication i�rpceived) <br /> GENERAL INFORMATION ' <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 cazds 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 dces 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 O�'P�RA�TTT <br /> ` Cl�ec�c All That <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ,� New Connection ❑Additional Connecrion ❑Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Si�e/Q�vner Inforrn�io�: <br /> Site Address: 3��o CTy���-- <br /> Owner: �%%�'/ Mailing Address: -�9��- <br /> City: �•,�� Zip: <br /> Home Phone: Alternate Phone: ���' ��.3 ''�-�l <br /> Co��act�r Infon�n�ti�; <br /> � . �L c <br /> Contractor: G/�C�M��—Ca�-s'r.e��-��� Contact Person: ��-> ��r.ec.�.�.•-o� <br /> Address: 1'r`�`.S�.s'�.��-s— State License #: <br /> City: i'���.����%r/.�'^� Zip:S^f��Expiration Date: <br /> Phone: �S y's'�.��a Alternate Phone: 6���ssl/��G <br />