Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
: � <br /> . <br /> FOR CITY USG ONL1' <br /> '��-�� � Clty Of 01'On0 Date Received:� � Pennit# <br /> � � P.O.Box 66 <br /> I i � <br /> 2750 kelley Parkway ❑In-House SAC Detennination Form Completed � <br /> ��: a Crystal Bay,MN 5�323 ! <br /> y <br /> `F� .� ��,'� (952)249-4600 � Approved�By(If Required): � � <br /> �:��tstroF , � �� <br /> `._._._ <br /> CITY�OF ORONO — SEWER & WATER/ GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official a�d/or Public Works Department*) <br /> (ALL PERMITS- Mav be subieet to further revie�°and ma��not be issued when the annlicatimi is received) <br /> GENERAL:INFORMATION ' <br /> 1. You may apply for utility permits by mai] 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 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 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 /> '�.' � r <br /> Site Address: ��� � � � <br /> Owner: ���1'l ��-�J' Mailing Address: �d f j��C� <br /> City: � �(� C� Zip: ����� <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> r <br /> ' � . V Y� .��5.� YI�. <br /> Contractor: � Q ntact Person: t�Yl�''� �0� �� <br /> Address: C��� �r' �j f-1 �d State License #: ��jlr,(q��� <br /> City: l Zip��y�xpiration Date: �� � � �� <br /> L�� r /,,� <br /> Phone: ��^ �_l�'�G � �� Alternate Phone: � ��` "� (GV <br />