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�0 City of Orono D�eety�ki <eraiG# 3 /7 <br /> P.O.Box 66 <br /> ;. <br /> 2750 Kelley Parkway ❑Ott':tease SC'I aron`Form(3omtleted <br /> ate ' Crystal Bay,MN 55323 <br /> t� o$y (952)249-4600pad � a' ? <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- May be subject to further review and may not be issued when the application is received) <br /> GEIS fr • .T FORMA T1, { <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 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 SIT <br /> Check ,' .. at 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 /> e.1fOwner'T foiiria c n <br /> Site Address: �' `/ ID 7P—C/ <br /> Owner/EGtiq_ 171 ct�4_ Mailing Address: <br /> City: Zip: -3,6 <br /> Home Phone:6 JC_/ 2- 70 3� 9r Alternate Phone: 16 <br /> on� lortnnrl. <br /> Contractor: Contact Person: <br /> Address: tate License#: <br /> City: Zi piration Date: <br /> Phone: one: <br />