Laserfiche WebLink
��G/�d <br /> . <br /> , SWG �� <br /> - FOR C[TY USE ONLY Z y '`� <br /> ��^/� Clty Of 01'ono Date Received: Permit# � <br /> P.O. Box 66 <br /> �' 2750 Kelley Parkway ❑ In-House SAC Determination Form Completed <br /> , i � , Crystal Bay,MN 55323 <br /> � ".,��,��� ��� (952)249-4600/Fax(9�2)249-4616 Approved By(If Required): <br /> ��;n., <br /> CITY OF ORONO - SEWER & WATER/ GENERAL PERMIT <br /> (�Note:Some permits may require approval by Ihe Building Ofticial and/or Public Works Department*) <br /> (ALL PER�I[TS- �[av be subiect to further review and mav not be issued when the application is received) <br /> GENERAL INFORMATION <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mai(ed 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. Wark 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 AI�Y 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 /> dResidential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Connection ❑ Additional Connection �I�'e-Connection ❑ Repairs ❑ Disconnect <br /> ❑ Water Availability Conne on For Future Hook-Up to Water <br /> Job Site/ Owner Information: <br /> � y_�`/ �/�r :- ,- ,���e <br /> Site Address: i `7 <br /> Owner: �? �< �� � «��'-/ Mailing Address: '7f� �' � t`�`� �� 5 � �"�� <br /> .�__ <br /> City: ��-��{ � a �L��. Zip: �`� �� �� <br /> Home Phone: G�S� " `� �� - � L�' � Alternate Phone: <br /> Contractor Information: <br /> Contractor: ���r S ������r; �X�� ��`Contact Person: � � o r�- , n �� ��S <br /> � r <br /> Address: L���� ��"�� �'` State License #: ��/ q <br /> City: �'��%��u'�c� Zip: 5����`�Expiration Date: �� " � �` � � <br /> Phone: �%/d - � G � `/`��'1 S Alternate Phone: <br />