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i <br /> ±�RQiT'"U$1til�' <br /> O�O�OCity of Orono AaRccd, enxnt# <br /> P.O.Box 66 G <br /> 2750 Kelley Parkway 1��n,$©a&e sAC petarioma m?iPleted �-a <br /> a� Crystal Bay,MN 55323 <br /> `? y (952)249-4600 Apprctvdc 83+ fltent�tredJ <br /> 4 <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 /> C� SsRALi-GRUmA ON h <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 /> . � <br /> T <br /> Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection Z Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> �J��'Site l��er�Tnfar�nat�c�xl. <br /> Site Address: o� / <br /> Owner: T Mailing Address: 7a <br /> /�11 <br /> City: V/L,L� Zip: S ) 3 J <br /> Phone: 5 —.-Hoe Alternate Phone: <br /> Cor ca r:&11 ion. <br /> Contractor: Contact Person: <br /> Address: X301 1416'h1V1G0 PLA-4 State License#: <br /> City: Zip• S3YS'Expiration Date: /2 -31-,)26 <br /> Phone: ��� �1 3- 6oc> Alternate Phone: 6-4 :L- q/6-6 Y`�Y <br />