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r � <br /> 1' s6QNLN <br /> 0NO City of Orono Dau Rcc Permit ft <br /> \ 'so hcllcy Parkes,y ❑In-Hou►c SAC Dctcrtnimtion form Con,pleud <br /> C <br /> 11 i n1stal Bay,NIN 55323 <br /> i?S21 49-4600 f,s{os2)149-.itiln Approved fly(if Requtredy _. <br /> CITY OF ORONO-SEWER& WATER I GENERAL PERMIT <br /> t•Notc Sonicpenwts may rcquwrc apprw'al b%,hc build f Official and,+u Public Works Dcpartmcnt') <br /> (AI.L PER. ITS• l�1ay he wubfrct to further rr,leN and mar'not be Issued wbrn rhe auglkallat is rrcetvedt <br /> GENERAL INFORMATION <br /> 1 You may apply for utility pennits by mail of in person at the Citv 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 pemnits 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 /> S. All work must be inspected before it is covered. Call(952)2494600,24+hour notice required, <br /> TYPE OF PERMIT <br /> Check All That Apply) <br /> 9 '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/Owner Informations <br /> Site Address: <br /> Owner: `� �`Q-4-' ' " Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Conftctr titin �' " <br /> Contractor: 31- Ii:y S o-. S Contact Person: M <br /> Address: It,(o c t e State License#: L Ob- <br /> City: <br /> lb-City: � -� 'S Zip:5"4 Expiration Date: t2-3 (• t ' <br /> Phone: �1?'2- A�tc Phone: (t2 `(3`f <br />