Laserfiche WebLink
FOR CITY USE ONLY <br /> O¢ <br /> 04? City of Orono Date Received: Permit# <br /> P.O.Box 66 <br /> 2750 Kelley Parkway 0 In-House SAC Determination Form Completed <br /> v- i Crystal Bay,MN 55323 <br /> + opo` (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 anolication 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)249-4600,244-hour notice required. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> Residential(May Require Approval) D Commercial(Approval Required) <br /> ew Connection ❑Additional Connection D Re-Connection ❑Repairs D Disconnect <br /> Job Site/Owner Information: II � � f <br /> Site Address: 02�(00 wLbbE'r \d'1 «5 1 ci <br /> Owner:-((Y'LO0`i Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: i <br /> Contractor: L.W ,16o1 auPJ rJ <br /> 9 Contact Person: ecr ohnsUY) <br /> Address: 5i O Erli'4lr6,\ aci&. State License#: 50 3 3 PYYI <br /> City: Lcv k4ke- Zip:'.-- "35c, Expiration Date: <br /> Phone: jcd LfZ'8103 Alternate Phone: <br />