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NOU-lz•-2011 {MON) 12� a2 Final Grade In� (FRX)952Q925101 P. 002I003 <br /> FOR ITY 3.F ONLY � � <br /> ,¢0 A, Clty of Orono Deca Received: / Pennit# /�-/�/ 3 <br /> `�` P,O,Dox 66 <br /> � "+ y, ^ O 2750 Kellcy Parkwoy ❑In-Huuse 5AC eterminntion Fonn Complett.�i <br /> � � r ,r a.. t Crys�al�ay,MN 55323 <br /> . i ��*�.�`� (952)249-4600 Approved By pf Required): <br /> �%pa�' <br /> CITY OF ORONO—SEWE�R & WATER/ GENERAL PERMIT � <br /> � ��� <br /> ("Note;Sonte pennits muy rcquirc n��roval by the Building Oflicial end/or Public Worka Deparcment'") / <br /> (ALL NERMI'fS- Mav be enbleet Ca further review nnd mnv not ba insucd when thc xonll�atiun in receivcd) <br /> GENERAL INFORMATION <br /> 1. You may apply f�r utility permits by mail or in person at the City offices. <br /> 2, Mailed in appNeaCions ere 9ubjeCC to thc postagc and handling fee shown below. Pennit cards will <br /> be se��[by recurn n�ail within 2 busincss days. <br /> 3. Perltllts al'e not vs►lid until you receive a permit card. <br /> 4. Work „�us[not begin unless che perinie eard is availablc on the job sitc. <br /> 5. Utiliry conneetion pe�7niCs may be issued to licenscd contractors only. <br /> 6, Con[act the Public Works Department(952-249-4600)for utility stub as-built locations. <br /> DO IVUT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN without ezpress <br /> approval of tlle Pub11C WnCka Department. lssuancc of a permit does not grant this approval. <br /> 7. All work must be done in aeeordanee wiCh Slate Cocie requircmcnts. <br /> B. All work must be inapected before it is covcrcd. Call(952)249-4600,24+��our notice requlred. <br /> TYPE OF PERMIT <br /> Cl�eck All That A 1 <br /> ❑Residential (May Require Approval) ❑Commercial (Approval Required) <br /> ❑New Conneetion ❑ Addilional Conncction ❑ Re-Connection � Repairs ❑ Disconncct <br /> ❑ Water Availabilily Conncetion Far Futurc Hook-Up to Water <br /> Job Site/Owner Information: <br /> siteAddress: 3095 CASCO POINT ROAD <br /> Owner;PHILLIP WHIPPLE �(ailing Address: 3095 Cesco Point Raad <br /> Cit Wayzata Zi 55391 <br /> Y� p' <br /> Home Phone: N�A Alternate Phone; N/A <br /> Contractor In�ormation: <br /> FINAL GRADE, INC JAMIE BOLLER <br /> Contractor: Contact Person; <br /> 3441 BLUFF DRIVE N/A <br /> Address: State License#: <br /> JORDAN 55352 NIA <br /> City: Zip: Expiration Date; <br /> 952-492-5100 612-369-2B99 <br /> Phane: Alternate Phone: <br />