Laserfiche WebLink
FOR CITY'USE ONLY <br /> �'0'� City of Ol'Ono Date Received: PenniC# <br /> �O¢ �O, P.O.Box 66 <br /> �,,.,__ � 2750 Kelley Parkway ❑In-House SAC DeterminaCion Form Completed <br /> ��,{ ry'�'�• - �'� Crystal Bay,MN 5�323 <br /> '�9 Y,� i, ., A." <br /> `���+�,n�:*�o';� (952)249-4600 Approved By(If Required): <br /> �+aao,. <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*\ote Some permits may require approval by the Building Official and/or Public Works Department*) <br /> (ALL PER�1ITS- Mav be subiect to further review and mav not be issued when the application is received) <br /> GENERAL INFORMATION <br /> 1. You may apply for utiliry permits by mail or in person at the Ciry 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 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 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 /> Job Site/Owner Information: �� <br /> Site Address: ��0 <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> v � <br /> Contractor: h�� .� Q�41(R, Contact Person: ` 6 �� <br /> Address: '�S � � State License #: <br /> Cit r�0✓Gl,h Zi � <br /> y: p: .�5�� Expiration Date: <br /> Phone: ��p� " `t'� �0�"3 Alternate Phone: �.'1�Z! Z,0� ���-3 � <br />