Laserfiche WebLink
r <br /> . ' �� � <br /> /�-�N�� Cit of Orono �1�Cri'Y USE Olv[,Y �7� <br /> 1 � .\ Y Date Received: Pemi�t# v�C��� ��5� <br /> � . ; P.O.Box 66 <br /> ; 2750 Kelley Parkway ❑In-House SAC Determinadon Form Compltted <br /> ��� ,�-� Crystal Bay,MN 55323 <br /> \;� . i (952)249-4600/Fax(952)249-4616 Approved By(IfRequired); <br /> \'�'�"�s'�i�t`� <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERNIIT <br /> (''Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoulicallon is receivedl <br /> GENERAL INFORMATIOI�t <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mailed in applicarions 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 A� i <br /> Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection �Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Conne tion For Future Hook-Up to Water <br /> Job Site/Owner in�orrnation: <br /> � <br /> Site Address: �3 S� ��1Gt,� �� ��� ���,� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contrac�or Information: <br /> Contractor:��r0 �'.���u� �i�e� Contact Person: �Tl�- h� 1��� <br /> Address: ��L� ��,ctv� �I.�X,�t- State License#: ����� <br /> City: ,����t�.b'1�!� Zip:���1� Expiration Date: �p�'i� <br /> Phone: 7��3 - ��b—�I3� Alternate Phone: ��,�-`3�'�1'��t <br />