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Apr-23-2002 10:56am From-CITY OF ORONO +9522494616 T-090 P.002/002 F-351 <br /> i�r�...,� ..� ,,.._� <br /> 'ITY�OF ORONO APPLICATTON F0�2 UTILIT�'PERMITS <br /> �o:e 66 (2750 K�lley Parkway) SF:�VER/'WAT�R <br /> 'rystal Bay, MN �5323 <br /> :ENRRAL TNFORMATION <br /> You may apply for utiliry permiu by mail or in person�t the City offices. <br /> Mailed in applications are subject to the postage and hendlin�fee shown below. Permit eards will be sent by return mail the same day <br /> the application is received. <br /> Permits are noc vAlid until you receive a permit c�rd. <br /> Work must not begin unless the permit card is availxble on tlie job site. <br /> Utility connectiott permits may be issued to licensed contracturs only. <br /> Contact the Public Works Deparunent(952-2G9-4600)for uri]ity stub�s-built Jocations. DO NOT�XCAVATE IN ANI'STRE�T ANb <br /> DO NOT TAP ANY MAiN withouc express approval of the Public Works Deparnnent. Yssuance of a permit does not granc rhis qpproval. <br /> Atl work must be done in accordance with State Code requir�;men�s. <br /> Ait work must be�inspected before it is covered. Call(952)IA�9-4600. <br /> 24 l�our nutice required. <br /> OB SIT� .ADDR�SS: 1973 Fagerness Point Road <br /> )ccupancy Type: x Y2esidential Commercial <br /> )wner's Name: Kevin Manley Phone Numbcr: 651/454-4933 <br /> -lailing Address: 9 Ethan Dr, C�h,; Eagan Zy�: 5512 <br /> 'ontractor's Name: Stocker Excavating Co, Inc. phoile Number: 952/890-4241 .� <br /> -lailingAddress: 824� W• 125th St. Cj�,; Savage Zrn� 55378 <br /> 'ERMIT TYPE � <br /> iuhicipal Server Connection ($35,00 per stub) ���`'"�`- ' $ 35.00 <br /> pipe si�e inches; rnaterial � Sche��ule 40 air tested; cast iron <br /> .�C Char�e (2002 rate $1,200.00 j must accornpany all sewEr permit applications unless prep�id. If not prepa.id, a se�vcr <br /> �nnection permit will not be issued. <br /> Iunicipal Water Conneetion ($35.00 per stub) $ 35.00 <br /> pipe size inches; material copper; other <br /> VATER METERS must be picked up and paid for at Cit� E�all. <br /> `Jater meters must be set and sealcd by Orono Wat�rr ncpartment (952-249-�i600) upon completion of ineter <br /> nstatlation. <br /> REQUIRED minimLun setbacks from drain field and sepuc tuiks= 75' <br /> REQUIRED setbacic from sewer line = 20' <br /> 'ERMZT rE�C CA�LCULATION <br /> Subtotal of above permit requested $ 70.00 _ <br /> State Surchar�e $ .50 <br /> The State Building Code Uivision Surcharge of$.50 per perrnit must be <br /> included for each well, sewer and water eonnecrion permic rayuested. <br /> Posta�e �. f-(andlin� (Only mail-in applications) $ 1_50 <br /> TOT1-�L PERMIT FEE (add lines 1-3 above) $ 70.50 <br /> he undersigned hereby appli�s to the City of Orono for issuance of a Utility Permit, agrees to do all worl: in strict <br /> iccordance witli the ordinanc�s of the City and the re�ulations of the State of Minnesota, and certifies rhat all statements <br /> nade on this application are complete, true and correct. <br /> �ignaiure of Applicant: Date: <br />