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May 29 14 08:24a Westonka Mechanical 952-472-4961 p.1 <br /> Ga/[Q/LG14 KJ1: LG 77LL474b1b L11 Y Ur UKUIVU r'HUG Gl!Clt <br /> FpR TY U� �QM.YC2�'„ ,,/ �� <br /> fi l/(�� <br /> �'�O/�r � City c►f Orono n�Ruer�cd: Y�,.�_ <br /> i� � �, r.o.ser�F '� <br /> � � 2750 Kellay P�'�'aY ❑t�Ha+�e SA D 'on Forta Ccm+p�cmd <br /> , CryataS$r.y.N1N 55323 <br /> �.1�,'��,.'• (v52)2a9-rGDo/Fa�c(952)244�6]6 AWmved By(If Roqalrcd): <br /> �E�i� <br /> Cj'fY OF OROIVO—SEVi�.R 8c WATER 1 GENEItAL PERMIT <br /> �*ryqh;$ov,�pvrniey m�y reqninc sppro.al bv thc BniEding Officisl and�o!PUMic Works Departrnrnt h <br /> fAS.L �7l'1S M De ailbi�a m futdlysf rcvkw� d m�v�M b�io�ued w4en 4b�ids�Nnn i�LLCI1�) <br /> GEN.�AL iNFORMATIO�i <br /> 1, You may appJy for ucitiry perrnits by�nail or in pecsnn st thc Ciry offccs. <br /> Z. MailCd lfl dpp�}catiOtlS 0.re�bjCct tv the post2�gc ard h�dling fee shown btlow. Permit CSids will <br /> bc sen�by retum mail withm 2 bus.i��-t days. <br /> 3. Pern,itq�►re not valid nntil vou rccefvc�perwit card_ <br /> 4. Work mu�t nat begin unte.�c the pennit card is avaifa6lt on tbe jab sitt, <br /> 5. Lltility com�ection permiss may bc issucd to liccnsed contracton only. <br /> 6. Contact the Fublic Work�Dcpartm.ent(952-249�4�0)for ublity stub as-built locativns, <br /> DO Np�EXCAwA'�E IN AN1'STREE�'AIy'I3 I30 NOT�'AP ANY MA.�T tvith�vt expresa <br /> npproval of the Pltblic Works X3epartaaeirt. �uancc of a permit docs no��trant this approval. <br /> 7, All work must be done in accordance with 5[ate Code rcqui�emazts. <br /> 8, A,11 wark muss bc in�ecsed befo�e it is coverecf. Gali(952)249-4Ci00,24+hour natict required. <br /> TYPE Ok'.PERMIT <br /> Check All.7'hat A lv <br /> �R�identiai(May�tequire Ap�proval) ❑Commercia](Approval Requirad) <br /> �New Conncction ❑Additiona3 ConRection ❑Re-Cannection �Repasrs ❑Disconnect <br /> ❑ Vdacer Avai Iability Canneetion For Fu[ur�f[ook-Up to Wa�er <br /> Jab Site/Owne�'�nfomiatioz� <br /> � <br /> Si�e Address: _��� � � �C� � ��r�" � <br /> Owt�er.���l"�C7'u G` Mailing Addreqc: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Cantractar ln��.rmation: ' <br /> , 1 <br /> ) r / <br /> Contractor: �1 �f � �'n ���''���Contact Persen: �Y 1 � /� <br /> Address: C�� ��`� ��� tate License�: <br /> � ef��.�n . s��� <br /> Ciry' Zzp: Ex�i,ratzon Dste, <br /> �'j� � JG��—��� Altemate Pho�e� �?io4 '�J��—� <br /> Ph�n�: ' / <br /> � <br />