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. � n�M /��`����.''t� <br /> . �F r• �'L� <br /> . � �Y�,�c� 1��'��t�, <br /> FOi�„CITY i}��O]�LY <br /> ���N�� CityOfOt'ono DateReceived: ����-Ib Pemtitll �L'��' D �d� <br /> ' � �`•, P.O.Box 66 J` .DO <br /> r �� � 2750 Kelley Parkway o e SAC in�ti Form '�]ete.ds, <br /> ��,y�\t V�-�' Crystal Bay,MN 55323 �� ��� r�� , �V ��S' <br /> \\�t��,, (952)249-4600/Fax{952)249-4616 Approved By(It'Required); `� I I <br /> � <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMI <br /> (*Nofe:Some permits may require approval by the Building Official and/or Public Works Departrnent') <br /> (ALL PERMIT'S- Mav be subicct to turt6er review and mav not be issued when the aoolicaHon is received) <br /> GENERAL INFORMATIOI� <br /> 1. You may apply for utility permits by mail 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 c$rd. <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> 5. Urility 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 /> approval of the Public Works Department. Issuance of a permit does not gant 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 /> TYP�OF PERM�T' <br /> Check All That A i <br /> R idential(May Require Approval) ❑ Commercial(Approval Required) <br /> ' New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect <br /> �� S��_ ❑ Wate��bility Connection For Future Hook-Up to Water <br /> �1L,1�-e.vl��o-v1 <br /> Job Site/Ovvner In#'ormation: <br /> Site Address: � �� �• <br /> Owner: l\�� �C'�^d-� I �'d ��� Mailing Address: U L " �J <br /> City: ����� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Inforination: <br /> -� <br /> Contractor: �� �J . ` P�S .�, Contact Person: ��t"1� � � <br /> Address: �� �� �--�.�� i?� ��, State License#: ���' <br /> City: CdI�-U�«�l Zip����xpiration Date: ��_ � l — L � <br /> Phone: ��t�� l��v `� � �� Alternate��� ����� /d <br />