Laserfiche WebLink
s � <br /> FOR CI'CY USE ONLY <br /> ����� Clty Of vY0110 Date Received: Permit# <br /> P.O.Box 66 <br /> � 27�0 Kelley Parkway ❑[n-House SAC Detenninahon Form Completed <br /> .� • � Gystal B�iy,MN 55323 <br /> �F '�' ' o` (952)249-4600 Approved By(If Required): <br /> ��xesxo�`w <br /> CITY OF ORONO— SEWER & WATER/ GENERAL PERMIT <br /> (*Vote:Some permit,may require approval by the Buildiug Official�nd/or Public Works Department*) <br /> (ALI PI+�Ki�11TS- M�rv be sublect tu further re�iew and mav not bc issued when the�pplication is recei��ed) <br /> GENERAL INFORMATION <br /> 1. You may apply for utility permits by mail or in person at thc City ofticcs. <br /> 2. Mailed in applications are subject to the postagc and handling fee shown below. Pcrulit cards will <br /> bc scnt by rcturn mail within 2 busincss days. <br /> 3. Permits are not valid until you receive a permit card. <br /> 4. Work must not begin�mlcss thc permit card is available on thc job site. <br /> 5. Utility connection pernlits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Dcpartmcnt(952-249-4600)for utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN�vithout express <br /> approval of the Public Works Department. Iss�iance of a permit does not grant this approval. <br /> 7. All work must be done in accordance witl� State Codc 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 A 1 ) <br /> �Residential (May Requirc Approval) ❑ Commercial(Approval Required) <br /> �] New Connection ❑ Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect <br /> ❑ Water Availability Conncction For Futurc Hook-Up to Watcr <br /> Job Site/ Owner Information: <br /> S ite Address: �.3 0�.0 ��-e,��Ct,�� Co v�2 �•-t <br /> Owner: (�v1�+.�av�� �-eS Mailing Address: �ZS W0."I���� ���� � <br /> City: ��u.0 7ov�-'0. Zip: S53`� � <br /> Home Phone: ��,z.,—' y�� �'��� Alternate Phone: ��2'ZZ � — ��� � <br /> Contractor Information: <br /> Contractor: o� .�� 0. Sov�.S Contact Person: ����� /U��So� <br /> p�p�e.L�.y c.,r �k 3�� <br /> Address: C�y,0 � Cc� �e,�, 3 State License #: <br /> City: �'1/�.lU Zip:S�3�E3 Expiration Date: !Z'� $��� <br /> Phone: �SZ- R 3�-L!/3 3 Alternate Phone: ��Z-�6�-���' � <br />