Laserfiche WebLink
- FOR CITY USE ONLY <br /> y=y��}��' City of OCono Date Received: Pertnit# <br /> �� '� P.O.Box 66 �J� <br /> ; �t 2750 I�elley Parkway ❑in-House SAC Determination Form Completed ��!/�/ <br /> ,:-`\° ' ,, Crystal Bay,MN 55323 <br /> ��� ����""�- , (952)249-4600/Fax(952)249-4616 Approved By(If Required): <br /> �`�.,_'�,_.'-,,''; <br /> CITY OF ORONO— SEWER& WATER/ GENERAL PERNIIT <br /> (*Note:Some permiu may require approval by the Building O�cia]andlor Public Works Departrnent*) <br /> (ALL PERMTTS- Mav be subiect to further review and ma��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 o�ces. <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(9�2-249-4600)for utility stub as-built locations. <br /> DO NOT EXCAVATE IN Al\�I'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 /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: /�/� �i'����/ I�AG� <br /> Owner: �IYEI✓OD�O ��0�25, Mailing Address: <br /> City: Gvi4y2�9� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �,S�I�_ �G4U_�N�/NG. Contact Person: /�!/�-� C�4'�'yn'^�� <br /> Address: a il� �NY�-D2�.�./�� State License#: <br /> �— <br /> City: Stl bS Zip: 5��3 Expiration Date: <br /> Phone: �S/ 11'SD -/3�5� Alternate Phone: �/2' ��9 y�1/� <br />