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� 1. . <br /> FOR USE ONL ( <br /> ��� City of Oiono n�e Re�e;,rod: (�Perroit u C�/(D-�" � ��J'�O <br /> � P.O.Boa 66 <br /> ` ' 2750 Kelky Parlcway ❑k+-House SAC D�derminarion Focmc�p tetod ;�,(',� <br /> � crr�►sar,MN 55323 .`�C t'd �'l.ti (F.'C I �;���' <br /> '.9�.�F��� (952)249-4600/Fax(952)249--0616 Appimwed By(if Keqaiced): G� I� <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (*Note:Somc permits may require appmval by the Building Official and/or Public Woiics Department•) <br /> (AI,L PERMITS- A7sv be subiect Go further review aad mav sot De issued wher t�e aoolication is reeeivedl <br /> GENERAL iNFORMATION <br /> 1. You may apply for utility peimits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handting fee shown below. Pennit 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 ezpress <br /> approvai of the Pnbiic W orks Department. Issuance of a permit dces not grant this appmval. <br /> 7. All w�rk must be done in accordance with Siate Code requiremenis. <br /> K. All work must Eie ins�cted before it is covered. C:all(952)249-460(1,24+6our notice requirect. <br /> TYPE OF PERMIT <br /> (Check All That A 1 ) <br /> �Re:idential(May Require Approval j ❑Commercial(Approval Requirect} <br /> �.�Ic�i�Conncction ❑Additional Conncction ❑Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availabiliry Connection For l�'untre Hook-Up to Water <br /> � Job �ite i uwner InTortnation: � <br /> Site Address: ��(.� 1J��"�` �V���r <br /> Owner: r `������)� ���1 a e r.s Mailing Address: �)�� V���Z C►r ��( <br /> c�ty: �-���n►►�5 z��: S 5 3 f i 3 <br /> IIome Phone: �S�-3 C�Sy�5��� Alternate Phone: <br /> ! Contractor Information: � <br /> C;ontractor: V-��II�� � ��S (.`ontactPerson: I...��U1r �� ll� <br /> Address: I I C�`�� Cu �v � State License�: <br /> City: `I `��J Zip:JJ.��3 Expiration Date: <br /> r <br /> Phone: qSa' ��� r �) � Alternate Phone: <br />