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* , . <br /> ..�-� FOR U�E oNLY /��� <br /> ���NO�� City of Orono DateReceived:/���1�e�nitll ��10 <br /> �' •� P.O.Box 66 <br /> ( ; 2750 Keiley Parkway ❑In-House SAC Determinadon rm Compkt <br /> •��,� �-�' Crystal Bay,MN 55323 <br /> \\��S�j o¢,,�- (952)249-4600/Fax(952)249-4616 Appmved By(If Requ'ved)• <br /> `�•� <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/ar Public Works Departrnent*) <br /> (ALL PERMTfS- Mav be subiect to further review and mav not be issued when the aoolic�tion is rcceivedl <br /> GBNERAL IIVFORA�IATION <br /> 1. You may apply for udlity permits by mail or in person at the City offices. <br /> 2. Mailed in applications aze 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 pemut 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 t6e 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 /> TYP�OF PERIviIT <br /> Check All That A i <br /> `�esidential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑New Connection ❑Additional Connection ❑ Re-Connection ❑Repairs Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Wa <br /> Job Site/Ovvcier Information: <br /> Site Address: (/ f'l�r <br /> Owner:� (_�erQ�((`�„� Mailing Address: 36Q C`t?�"r' V'G <br /> City: �f�Q/(�� Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �jQG (�4�'!�T!'G�77dGj Contact Person: �C/� Yp►/2C{�Q/"�i�QJoy <br /> Address: T" W v(l �p� State License#: � 7 8� ( �'`�f7 /� <br /> � <br /> City: � ���1�/ Zip:�S�� Expiration Date: <br /> Phone: �P��"�Z� 1�_ Alternate Phone: � <br /> �— <br />