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<br /> O,�p�,O Cfty of Orono �t�tiece�v�a.���l�Pm;�t# �� ' ��
<br /> P.O.Box 66 �' �:'� , ' � >� ,
<br /> " ,�� 2750 Kelley Parkway ❑r1n House S r t,Determinapon Fom��Gomple_ted
<br /> � � � Crystal Bay,MN 55323 ;a�r �'at � i �' '
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<br /> � ° ti 4, (952)249-Rt600 I��P-PrFDBed�`B}��4�e�ihced��"�'� ' . , ,.;�
<br /> Y�ttPa S i � sr:,�u�' t S
<br /> CITY OF ORONO—SEWER& WATER/ GENERAL P�RMIT
<br /> ("Note:Some permits may require approval by the Build'uig Official and/or Public Woi�Cs Depairine�rt"')
<br /> (AI.L PF,RMITS- Mav be subiect to further��eview and mav not be issued1vhen the unnllcatimi is received)
<br /> �r i�, tp r � � '( y�. iA .13 �;,�3 «Y�,' �' -'!'�� '�F`�a.,f '�r3�'�as�4.`*+.�.� ry�,�..� �,.
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<br /> 1, You may apply for utility pernuts by ruail or in person at the City off"ices,
<br /> 2. Mailed in applications are subject to the posfage and handling fee shown below. Permif cards will
<br /> be sent by rehun mail within 2 business days,
<br /> 3, Perrznits are not valid wrtil you receive a permit card.
<br /> 4. Work must not begin unless the pernut card is available on the job site.
<br /> 5. Utility connection pernuts may be issued to licensed conh•actors only.
<br /> G. Contact the Public Works Department(952-249-4600)for utility siub as-built locations, '
<br /> DO NOT FXCAVATE IN ANY STItEET AND DO NOT TAP ANY MAI1�1 without express
<br /> approval of the Public Wor[cs Depurtment. Issuance of a permit does not graut this approval,
<br /> 7, A11 work must be done in accordance with State Code requirements. • �
<br /> 8. All work must be inspacted befare it is covered. Gail(952)249-4600,24+hour notice required.
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<br /> ' � y�y���f ir�� �a'� i.�a�.,rq �2,{7 !�:� } � 1 � � i� t .j i •r�� �i �
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<br /> �Residential(ivTay Require Ap�roval) ❑Commercial(Approval Required)
<br /> ❑New Connection �Additional Connection ❑Re-Connection ❑Repairs �Disconnect
<br /> [� Water Availability Comiection For Future Hook-Up to Water
<br /> Job=Satc,/r�f�m�r`Irifoz��,tio,ii<-:; . z:�����`��'`. �"'
<br /> Site Address: IOqS ��G�GY.�� /� l/(�
<br /> Owner�l'l fh��� I1�r' Mailing Adciress: ��v �-���/,C (i(W
<br /> City: W r�-/L�T� Zip: �.�GI �
<br /> Home Phone: ��Z^ �7�'�9Z�' �zemate Phane: �
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<br /> Contractor: !'.:�-'�i f�; �v�#1 �i��;��I t�?� �c�. Gontact Person: ��FG�'t'11� �',t�I,��';
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<br /> Address: %h'�`�(! ` � ' �,11??�t5/t= /L'd Siate License##: ��i�`;�LU•
<br /> City: :i'DY�t���� ZI �5�'`�% Expiratioii Date: ��%�'f �IJ
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<br /> Phoi�e: `���%��''�� ,������' Altemate Phone: �1 Z•`�l��� /5��
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