Laserfiche WebLink
From:VALLEY-RICH CO. , INC. 952 448 3362 08/22/2013 11 :54 #613 P.002/004 <br /> FOR CITY USE ONLY <br /> City of Orono Date Received: Permit# <br /> P.O.Box 66 <br /> 2750 Kelley Parkway ❑In-House SAC.Detazmn,atio>*Form Completed <br /> Crystal Bay,MN 55323 <br /> 952 249-4600/Fax 952 249-4616 Approved B Required): <br /> \y /rp <br /> ( ) ( ) PPm y lu O(lllll' ): <br /> CITY OF ORONO-SEWER&WATER/GENERAL PERMIT <br /> (+Note:Some permits may require approval by the Building Official and/or Public Works Department x) <br /> (ALL PERMITS-May be tabled to further review and way not be issued when the sooiicadon 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 /> ❑Residential(May Require Approval) Mcommercial(Approval Required) <br /> ❑New Connection El Additional Connection (X Re-Connection Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: 7-1-A-7 r'f Tl'ac 1��-VA <br /> Owner: 6�o& f4.-1 U1F4_ Mailing Address: <br /> City: OKCJy Zip: <br /> Home Phone: Cs7 Z`3Z5_5 Z4 Alternate Phone: <br /> Contractor Info�r/mation: <br /> Contractor: V ALLY -kh (20.(20. Contact Person: MA= �ktK.L.Y <br /> Address: 1117 _TbiAfCMAIR State License#: C;oZL(59 f?M <br /> City: Lt PSKN Zip:q t Expiration Date: f 7-l3/113 <br /> Phone: 2 gLfSS--30()Z. Alternate Phone: <br />