Laserfiche WebLink
FOR CfTY USE ONLY <br /> O¢OG City of Orono Date Received: Permit# <br /> P.O.Box 66 <br /> 2750 Kelley Parkway 0 In-House SAC Determination Form Completed <br /> d. Crystal Bay,MN 55323 <br /> (952)2494600 Approved By Of 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 subiect 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)2494600,24+hour notice required. <br /> TYPE OF PERMIT <br /> Check All That Apply) <br /> Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection ❑Re-Connection -Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: /GbS� l�111141 �Y <br /> Owner: 1'Y CCY_ Mailing Address: D D Sr <br /> City: yDYID Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �! Pir Contact Person: off <br /> Address: A�517D Z � i�'lv� State License <br /> City: Zip: Ss`1`%7 Expiration Date: <br /> Phone: ,7/per 7 ��Z� Alternate Phone: �� �e z9/ <br />