Laserfiche WebLink
I <br /> FOR CITY USE ONLY <br /> City of Orono Date Received: Permit# <br /> P.O.Box 66 <br /> �To, 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> 1;�^ Crystal Bay,MN 55323 <br /> ;� o (952)249-4600 Approved By(If Required): <br /> aero* <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 /> 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 OF PERMIT <br /> (Check All That Apply) <br /> JZ.Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> New Connection ❑Additional Connection ❑Re-Connection ❑ Repairs ❑ Disconnect <br /> Job Site/ Owner Information: <br /> Site Address: 020 90 Be -Wee. - s /?d <br /> Owner: wimv �ii2w Mailing Address: a96)2.0 ��s )fW <br /> City: t2n o,J.v-, Zip: S-S`39/ <br /> Home Phone: 95-.2- /76- 10761/ Alternate Phone: <br /> Contractor Information: <br /> Contractor: x-7-60 &-zot,LContact Person: /Z,),47. <br /> Address: /0/ State License#: <br /> City: /4/642- Zip: 5;391 Expiration Date: <br /> Phone: 9S-,7 1/73? 7� '7 Alternate Phone: �"/-a 5��=1p/9Y <br />