Laserfiche WebLink
FOR CI"1'1'USL ONLY <br /> J���-�N � Clty Of 01'ono Date Received: __ PermiL# <br /> ' � \ P.O.Box 66 <br /> f �, <br /> { � , <br /> 2750 Kelley Park��a} ❑In-House SAC Determination Form Completed <br /> �.. �;� Crystal Bay,MN��323 � <br /> ��' 952 249-4600 A roved B 1 f Re uired � <br /> ��� � ' � ) PP Y� 9 �� I <br /> ��h'is'tro�';" <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 aoalication is received) <br /> 'GENERAL':INFORMATION <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 contraetors 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 wark must be done in accordance with State Code requirements. <br /> 8. All work must be inspected befare it is covered. Call (952)249-4600, 24+hour notice required. <br /> TYPE OF PERMIT <br /> � (Check All That Apply) ��� � � � <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Connection ❑ Additional Connection ,,� Re-Connection ❑ Repairs ❑ Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> �Job Site/ Owner Information: <br /> Site Address: �/� C, �f'�', �/����� <br /> Owner: /'��L�� /�����"��� Mailing Address: l���� <br /> City: ����'1��/�,� Zip: �j�"`�� <br /> � � � � . <br /> Home Phone: ��5"" � �� Y�� Alternate Phone: <br /> Contractor Information: � <br /> Contractor: ��t<<�/������L�t Contact Person: ��� <br /> Address: ��7�v /�7�/�f'�/� State License #: �����0�� <br /> ��6� � <br /> City: ����i�1�� Zip: Expiration Date: Z . L��.S <br /> Phone: 7G� JZ���� Alternate Phone: <br />