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FOR CITY USE 01LY <br /> City of Orono Da[e Received: Pennit# <br /> O�'��O\` P.O.[3ox 66 <br /> ;�i 2750 Kellcy Park�vay ❑In-I louse SAC Detem�ination Porn�Completed <br /> p`"�'P �� Crystal Bay,MN 55323 <br /> �",; <br /> ��t� '�� o`; (952)249-4600 <br /> ,. Approved By(If Required): <br /> y., <br /> `:,,�rreHoe,; <br /> CITY OF ORONO— SEWER& WATER/ GENERAL PERMIT <br /> (*1ote:Somc pennits may require ap}�roval by the Building Official and/or Public Works Dcpaitment*) <br /> (:AIJ. PF:KJII�I'ti- A�I;���he subiect to furlher revie���.ind ma�'not be issued when the anPlication is reccived) <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. Worl<must not begin unless the permit card is available on the job site. <br /> 5. Utility connection permits may be issued to licensed cont�-actors only. <br /> 6. Contact the Public Works Department(952-249-4600) far utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN���ithout 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 /> (Gheck 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 /> 1 �u <br /> Site Address: � � � C�l���'''� �j� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: Y�� �V zX(p;;E � Contact Person: <br /> Address: S Uc.� G�y, R�� 3 � State License#: <br /> City: �� Zip: Expiration Date: <br /> Phone: 3 2D- �6 3- Z�t�U Alternate Phone: <br />