Laserfiche WebLink
� <br /> ��� � <br /> FOR IT US ONLY '�yc �" <br /> ��NO Cit)'Of OCOIlO Date Received� 0 Permit# d�(�i..J� ✓ <br /> P.O.Box 66 <br /> ! � 2750 Kelley Parkway ❑In-House SAC Determmat�on Form Completed <br /> �, i ., Crystal Bay,MN 55323 <br /> "�` �,��� (952)249-4600/Fax(952)249�616 Approved By(If Required): <br /> :.,.;,,, <br /> CITY OF ORONO—SEWER & WATER/GENERAL PERMIT <br /> (*Note:Some permi[s may require approval by the Building Official and/or Public Works Department*) <br /> (ALL PF,RMITS- Mav be subiect to further review and mav not be issued when the anolication is received) <br /> GENERAL INFORMATION <br /> 1. You may apply for utility pennits 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 ANl'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 l � <br /> (�Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑ Additional Connection ❑Re-Connection ❑Repairs �Disconnect <br /> ❑ Water Availability Connection For FutuXe Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: 3�, � _S L�,.�,�n ;� <br /> Owner:l����'� `(�,F�� Mailing Address: `�� !�`�oh��S L� <br /> City: lu;�,� k;�kv. Zip: ���O � <br /> Home Phone: �,��-����`7 ��jl� Alternate Phone: <br /> Contractor Information: � <br /> Contractor: CqQ_��%�L�QL} ����p! Contact Person: (��\��-�.� <br /> Address: 4�(�{ £�'�,;,� :rC � State License#: �����- /►1� <br /> City: 1�c9c�21�� Zip�� Expiration Date: �,—�\— \� <br /> Phone: (o`a'SC�-�'�'��1�1� Alternate Phone: <br />