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� <br /> . <br /> TOR CITY IISE ONL1' <br /> �;�(��`�\ Clty of 01'ono Date Received: Permit# <br /> //� `Y�,, P.O.Box 66 <br /> r�' , '� 27501kelle Parkwa � <br /> �� y y ❑In-House SAC Determinat�on Form Completed <br /> i��� i��X•`. �� Crystal Bay,MN 55323 <br /> d' �r,�.�G`/ (952)249-4600 Approved By(If Requi�ed)_ <br /> \��oa.; <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 PF,RMITS- Ma��be subiect to further review and mav not be issued when the aoplicAtion 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. 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 1 ) <br /> � Residential(May Require Approval) � Commercial(Approval Required) <br /> � New Connection � Additional Connection �Re-Connection �epairs � Disconnect <br /> Job Site/Owner Informatio►1: <br /> --, ��I ' -, , I <br /> Site Address: -�� 1 � �- a 5�� �_ I y C_ ! �. <br /> Owner: i-- U � 5 j (' Mailing Address: <br /> City: L:i L%�C� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Infor�r�ation: � <br /> r y� q <br /> Contractor: �I`151��� I''I{c����"'��NfContact Person: ��Y� � ��W, �' �� <br /> Address: State License#: <br /> City: f�1��� ��P �� Zip: Expiration Date: <br /> , <br /> Phone: �)5�� --] `� ' ��nd Alternate Phone: <br />