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. r' w - � <br /> �a..s� <br /> F CI USE ONLY /s <br /> ,��� Clty of OCono Date Received�������� Permit# G��d `� <br /> P.O.Box 66 ����� <br /> �� � 2750 Kelley Parkway ❑In-House SACDeterminaUon Form Completed <br /> .� ��'�r��. Crystal Bay,MN 55323 �� <br /> �. �r�1,:". ��' � <br /> �n�t (952)249-4600 Approved By(If Required): <br /> t�'i��F� � <br /> Ee8o4 <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 PERMTTS- Mav be subiect to further review and mav not be issued when the application 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 pernut card is available on the job site. <br /> 5. Utiliry connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Warks 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 pernut 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-Connection ❑Repairs ❑ Disconnect � <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> i Job Site / Owner Information: <br /> Site Address: ����5 �nsCa �,;',� <br /> Owner: �����-�� �>��- Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: � �� , �� ,r,,� Contact Person: .��( <br /> Address: �flJf��' (�3 State License #: � ��1 I <br /> City: /(. Zip:�S jY3Expiration Date: p���j//�� <br /> Phone: C��..� �6 f- 73Fj�� Alternate Phone: <br />