Laserfiche WebLink
FOR CITY USE ONLY <br /> Clty Of OrouO Date Received: Permit# <br /> � �¢���� P.O.Box 66 <br /> � �'' 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed <br /> �� iF`'�• ��' Crystal Bay,MN 55323 <br /> t�'�'t '' •yo` (952)249-4600 Approved By(If Required): <br /> �'.."�i7HpA <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 PERMITS- Mav be subiect to further review and mav not be issued when the analicatioo is received) <br /> GENERAL INFORMAT[ON <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 only. <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 A 1 <br /> Q Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑New Connection ❑Additional Connection ❑ Re-Connection ❑Repairs ❑ Disconnect <br /> Job Site/Owner Information: <br /> Site Address: ���( �s C(� lJ(1rG�� <br /> Owner: r OrV► Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: �o(Z-" � Z-� ���� <br /> Contractor Information: <br /> Contractor: � , Contact Person: <br /> � c,� , r. � <br /> Address: ��3� � �Og '�"1 ` State License#: "t'� l {i <br /> ���� <br /> City: � Zip:� Expiration Date: <br /> Phone: (D(�'(D�� � �� 6� Alternate Phone: �o(7i' �Z.'���� <br />