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Sep.09.2017 03:53 PM WICKENHAUSER EXCAVATING 9524662231 PAGE. 3/ 4 <br /> 'V <br /> F� C USE ONLY <br /> SUN \ City of Orono Dato Recoiv Permit AoL/� <br /> 1 P.O.[sox 66 <br /> 2750 Micy Parkwuy ©In-House SAC nolcrmination Ironn Complc4' <br /> ' r ' Crystal Bay,MN 55323 <br /> .r<' �• 52 249-4600/Pax 952 249 4616 Approved B If Required): r <br /> CITY OF OR.ONO— EWER&WATER/GENERAL PERMIT <br /> (+Nobe!Some pormita may mquiro pproval by the Building Official and/or Public Works Dopartmont•) <br /> GENERAL IwOR.MATION <br /> 1, You may apply for utility perm�ts 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 snail within 2 1•usiness days. <br /> 3. Permits are not valid until yoi 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 a issued to licensed contractors only. <br /> 6. Contact the Public Works Depa ent(952-249-4600)for utility stub as-built locations, <br /> DO NOT EXCAVATE IN A Y 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 accor ance with State Code requirements. <br /> 8. All work must be inspected bef t re it is covered. Call(952)249-4600,24+hour notice required. <br /> TYPE OF PERMIT <br /> heck All That Apply) <br /> a Residential(May Require Approvals ❑Commercial(Approval Required) <br /> ❑New Connection ❑Additional Cpnnection ❑Ro-Connection ❑Repairsfid Disconnect <br /> ❑ Water Avail bility Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: /0 YO Tdr7 AA h/4 ROg <br /> Owner: v,-d A h le,(s Mailing Address: d h lel's_8o t4 4o f.cam <br /> City: Zip: <br /> Home Phone: Alternate Phone: d Z-' 6 Z- 3 <br /> Contractor Information: <br /> x�avat%may <br /> Contractor: (4/1 G4?/h421/-rp Contact Person: O r7 <br /> Address: 136P 60, State License#: <br /> City: co/'q h fZip:553Z�Expiration Date: <br /> Phone: 612-- Z'70 Alternate Phone: <br /> i <br /> I I <br />