Laserfiche WebLink
FOR CITY USE ONLY <br /> "��''—��"`� Clty Of 01"OIIO Date Received: Permif# <br /> //,�,O�\�, <br /> � P.O.Box 66 <br /> ��'/��,; , �" 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> �a jr'� x+". i� Crystal Bay,MN 553'_'3 � <br /> �`��y fi ��y.+a`�f (952)249-4600 Approved By(If Required): <br /> .. a�scoay� <br /> �:__-� <br /> CITY OF ORONO—SEWER& WATER/ GENERAL PERMIT <br /> (*Note:Some pemiits may require approval by the Building Official andior Yublic Works Department*) <br /> (ALL PERMITS- Mav be subiect Yo further review and mav not be issued when the eonlication 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 Deparnnent(952-249-4600)for utility stub as-built locations. <br /> DO NOT EXCAVATE Il\'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 /> �Residential (May Require Approval) �Commercial (Approval Required) <br /> ❑New�Connection ❑Additional Connection ❑Re-Connection �Repairs � Disconnect <br /> Job Site/Owner Information: <br /> Site Address: 2 � Z�% �4 S � v �tU/.� � �.�C <br /> Owner: �`� ^ � �' < < y Mailing Address: � � Z � �s s�r �'U, , � � <br /> Ciry: ��To •� o Zip: <br /> Home Phone: Alternate Phone: � � Z ��� U � �8 <br /> Contractor Information: <br /> " � '�.� � —�- <br /> Contractor: �.;�5�„ S�,>e� ,�- �� Con�ctPerson: �f o <br /> Address: P� �oX �� Z State License #: � �c��i� � <br /> / <br /> City: `� �I' Zip: ��/lf Expiration Date: � � <br /> Phone: � / Z 7 S � —6��'� Alternate Phone: <br />