Laserfiche WebLink
,...,�.�.,..�._,... ,. .,. _ . . ,�.,,�....,,,.. : <br /> �.,.�- ? .�__,_,.�.., � __�..-..� __..,.�.�,� <br /> �"'"T." ,�.>" <br /> , <br /> ' FOR CITY USE ONLY <br /> ��^/� City of Orono Date Received: Yermit# <br /> P O. Box 66 <br /> �1 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> >, > , ; Crystal Bay,MN 55323 <br /> � � "�,�.�,E���` (952)249-4600/Fax(952)249-4616 Approved By(If Required): <br /> htSHl�. . <br /> CITY OF ORONO — SEWER & WATER/ GENERAL PERMIT <br /> (*rote:Some permits may require approval by the Buildin;Official and/or Public Works Department*) <br /> (.4LL PERM[TS- Nlav be subiect to further review and mav not be issued when the analication 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 permit card is available on the job site. <br /> 5. Utility connection permits may be issued to licensed contractors on(y. <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 Apply) <br /> �Residential (May Require Approval) ❑ Commercial(Approval Required) <br /> �New Connection ❑ Additional Connection �Re-Connection ❑ Repairs ❑ Disconnect <br /> N <br /> ❑ Water Availability Conn c ton For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: _.3�a 7 �fI�S�'D ��'��- <br /> Owner:�N��/� �L�/�S , Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �,.5,/� �i,�L►q��✓� Contact Person: lOD���'�� <br /> Address: �9/� ��ti�'�P�/5�/�State License #: <br /> City: �75NGi5 Zip: �33 Expiration Date: <br /> Phone: �S'I-yf�0 -�35�� Alternate Phone: �/� 9�S Y3�1� <br />