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• � _. �', <br /> FOR CiTY LfS�:t;�M,l' <br /> ���� P.Box Orono I3ateReceived: � �i�# <br /> 2750 Kelley Pazkway Q�n-Iipuse S.+kC 17eiermii'►atioii�arm Compteted <br /> y ,� Crystal Bay,MN 55323 <br /> �"� ` (952)249-4600 ��,+��y 4t€xeyuire�): <br /> ����ti <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 aoolicallon is receivedl <br /> GENERA�INFORMATION <br /> l. 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 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 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 4F PERMIT <br /> Check All That A 1 <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 1 Qwner,Information; <br /> Site Address: � �5 Sr�u-t�►'\ t'CV'C� <br /> Owner:��� Mailing Address: '�l�''s l.Ja�� `I�o � <br /> City: �CGv�C7 �V1.u� Zip: �S�� � <br /> Home Phone: ��I,Z — (� ',1� �t� Alternate Phone: ��Z —(0 7!� - �Z2 � <br /> Contractor Infor�n�t��an� <br /> -_n n- L�� <br /> Contractor: \V�,��,vti v w�. U/�f c�r� Contact Person: ,��� <br /> Address: �4�� �� State License#: <br /> City: C �� Zip:'IM,� Expiration Date: <br /> �'S�ZZ <br /> Phone: (' 2� � �_ ♦3t 1 �/ Alternate Phone: <br />