Laserfiche WebLink
� ' <br /> A <br /> P'OR CITY iiS1:ONLl' <br /> ,.¢��:,\ City Of O�'Ono Date Received: Pennit# <br /> � P.O.IIos 66 <br /> ��, Q�� 2750 Kelley Parkway ❑In-House SAC DeterminaCion Porm Completed <br /> ��y� ij�� � �� Crystal Bay,MN��323 <br /> � ;, r.o;,i (9�2)2a9-d600 Approved By(IfRcquircd): <br /> �:!R'E�aiso�,`..:;, <br /> CITY OF ORONO—S�WEl2 & WATER/ GENERAL P�RMI7, <br /> (*Note:Some permits may require approval by thc I3uilding OfCicial and/or Public Works Dcpartmcnt*) <br /> (;\LL PL,Ri�ll'I�S- ��iav be subject to further revicw�nd m�iv not be issued titi�lic��fhe:�ppiication is reccived) <br /> GENCRAL INFORMA7'ION <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> ?. Mailed iii applications are subject to the postage and handlin� fee shown below. Permit cards���ill <br /> be sent by return mail�vithin 2 business days. <br /> 3. Permits are not valicl until you receive a per►nit c�rd. <br /> 4. Worl: must not be�in 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 tlle Public �Vorks Dcpartment(952-2�9-�4600)for utiliTy stub as-built locations. <br /> DO NO"T F.SC.AVATE 1N ANl'STR�ET AND DO \OT TAP ANY NIt1IN without exp►�ess <br /> �pprov�l of llie Public 1Vo►�I:s Department Issuance of a permit does not�I'1ttt t�11S 1�J�71'OV1I. <br /> 7. fUl wor(:must be done in accordance with State Code requirements. <br /> 3. All �vorl:must be inspected before it is covered. Call (952)?49-4600,14+hour notice requirecl. <br /> TYPE OF PERMIT <br /> (Check All That A 1 ) <br /> �'Residential (May Require Approval) � Commercial (Approval Required) <br /> �i rew Coiinection � Additional Connection � Re-Connection �[]� Repairs � Disconnect <br /> Job Site/ Owner Information: I <br /> Site Addcess: /.,��J� ���:_��i ,���AO � <br /> � c� �� � <br /> O��mer: o /[�iv�]� lVlailiil� fAciclress: /� /,S �r��—,vTv <br /> City: CS-,�� .,� n 7 ip: d-�n/� ,�,�� <br /> Home Phone: �5.�— ��� � 4f��� Altecnate Phone: <br /> � <br /> Contractor Infocmation: <br /> Contractor: ��Yrr,,Jsd.r� ��-uC����li.ontact Person: �,N�C� ,�,�oG��e4/ <br /> /�dclress: /5dc�_/ rL►/NN�T[�,�✓,�,4- >�v�:.�s�`/h�1te I�iceilse #: <br /> ��� <br /> City: n'i��.v�vE7'o��:� 7ip:,�',��/ E�piration D1te: <br /> P11one: �,� - `l,'�1 ��`J'7�7 Altecnate Phone: fS�-a�5— `3�`,�3'� <br />