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♦ <br /> � FOR CITY USE ONLY <br /> � 4�� City of OrOnO Date Received: Pennit# <br /> P.O.Box 66 <br /> �° � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> �T � <br /> a ����>�n � Crystal Bay,MN 55323 <br /> �������$�a~ (952)249-4600 Approved By(If Required): <br /> CITY OF ORONO - SEWER & WATER/ GENERAL PERMIT <br /> (*Note:Some pennits 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 application is received) <br /> GENERAL INFORMATION <br /> l. 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. Peimit cards will <br /> be sent by retuin 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 pernut card is available on the job site. <br /> 5. Utility connection peimits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-4600) for utility stub as-built]ocations. <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) ❑ Commercial(Approval Required) <br /> ❑New Connection ❑Additional Connection ❑ Re-Coruiection ❑ Repairs isconnect <br /> Job Site/ Owner Information: <br /> Site Address: � � � ' 1 '� J� � w � \'�� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor I�Zformation: <br /> Contractor: ������ �`�'v Contact Person: �^��� `-� � v � <br /> Address: s���1 S��`��`'� State License #: � -� �� <br /> City: .�v n� Zip�sjF� Expiration Date: � �`' � �` `� S <br /> Phone: � �0�� �� 6 ��"� Alternate Phone: °� <br /> 4 4 � <br /> � � <br /> i <br /> L � � <br /> II �� �A � <br /> � � � � <br /> ; �� �: <br /> -� ;�� �' � � <br />