Laserfiche WebLink
A. <br /> FO IT USE ONLY 177 <br /> �¢0 �\ City of Orono Date Received:* QD Permit# <br /> P.O.Box 6G <br /> 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> �h>l, Crystal Bay,MN 55323 <br /> (952)249-4600 Approved By(If Required): <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 /> GENERAL INFORMATION <br /> I. 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 /> TYPEOF PERMIT' <br /> Check All That Apply) <br /> ®Residential(May Require Approval) ® Commercial(Approval Required) <br /> ®New Connection ® Additional Connection ® Re-Connection Repairs XDisconnect <br /> Job Site/Owner Information: <br /> Site Address: <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: p <br /> Contractor: YW � 1 �6� Contact Person: IG6, S P— <br /> I�b n <br /> Address:�.7Q0/ H f qState License #: 95,P2 eZ' <br /> City: Zip:Expiration Date: �Z 3/ 2A94 <br /> Phone: q5; Alternate Phone: <br />