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L l It Ul' UltUivU Arrl.lLA ► IUA k UK U I lid l 1t r1t ILVll l b <br />Box K (2750 Kelley Parkway) SEWER/WATER <br />Crystal Bay, MN 55323 ' Sf <br />G_ ENERAL 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 fees shown below. Permit cards will be sent <br />by return mail the same day the application is received. <br />3. Pa ks are mot valid mdl yar receive a pa k card. <br />4. Work must not begin unless the permit card is available on the job site. <br />S. Utility connection permits may be issued to licensed contractors only. <br />6. Contact the Public Works Department (473-7357) for utility stub as -built locations. DO NOT EXCAVATE <br />IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works <br />Department. Isswutce of a permit does not grant this approval. <br />7. All work must be done in accordance with State Code requirements. <br />g. All work must be inspected before it is covered. Call 473-7357. <br />24 noun ■once r equired. <br />" SFM ADDRESS: <br />1 ., <br />t � �:.... <br />• fir, , <br />P6aaseNumber: <br />City: 2%% <br />. P6oneNt�asbec: 4 � � <br />City��S3.ar" 6 <br />PERMIT TYPE - <br />Municipal Sewer C mumt1w ($35.00 per stub) $ <br />pipe size inches; material PVC (on sand fill); <br />SAC Charge ($800.00) must accompany all sewer permit applications unless <br />prepaid, a sewer connection permit will not be issued. <br />Municipal Water Ceanection ($35.00 per stub) <br />pipe size inches; material copper; odler _ <br />WATER METERS must be picked up and paid for at City Hall. <br />(5/8" meters = $133.00; 3/4" meters = $191.00; 1" meters - $235.00) <br />Separate Plumbing Permit issued for water meter. <br />Water meters must be set sad sealed by Orono Water Department (473-7337) upon <br />completion of meter installation. <br />REQUIRED minimum setbacks from drainfteld and septic tanks = 75' <br />REQUIRED setback from sewer lire = 20' <br />cast iron <br />prepaid. If not <br />S <br />PERMi1T FEE CALCULATION <br />1. Subtotal of above permit requested $ <br />2. State Surebaree $ .50 <br />The State Building Code Division Surcharge of S.50 per permit must be <br />included for each well, sewer and water connection permit requested. <br />3. Postage & Handling (Only mail -in applications) S 1.50 <br />4. TOTAL PERMIT FEE (add lines 1-3 above) $ <br />The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to <br />do all work in strict accordance with the ordinances of the City and the regulations of the State <br />of Minnesota, and certifies that all statements made on this application are complete, true and <br />correct. <br />Signature of Applicant: Dane: 6 <br />