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� � �• <br /> l��1V� ty —i�og�'Y�U��o ��r <br /> Ci of Orono �������� �rt� <br /> P.O.Box 66 <br /> i , 2750 Kelley Parkway ❑�-H�������������o�+Pfi��� <br /> ��, >? Crystal Bay,MN 55323 <br /> \'" ��� (952)249-4600/Faac(952)249-4616 ��+�H3'���4v}���� <br /> \`�KFS ti��/ <br /> �+._....._.• <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolicatioo is receivedl <br /> GEhTERAL iNFORMATIO�T <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 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 Depariment(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 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 /> TY�OF PE�t1VITT <br /> C��ck All That A ` 1 <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> �ab 5ite`/O�er�arr��#�rn: <br /> Site Address: � r o �''�e��-- �/�'^ a !�"1�" <br /> Owner:� C ��7�,. Mailing Address: �/� �S� ��77�,�'l.i �K�y <br /> c�ri: Dk��.� �,<<s z�p: .5��'�� <br /> �/''Z Alternate Phone: �� dZ� <br /> H�me rh�nc: � ,�� � <br /> Co�tta��or I�farrnation: <br /> � 3��t 1� <br /> Contractor: c� ���w � (..v o,.�s Contact Person: /� Y <br /> Address: ��Z�o �,5�•� State License#: ���7�yy� <br /> � IZ�3� 1�� <br /> City: !� Zip:� Expiration Date: <br /> Phone: G�Z .�.� l�.�Z Alternate Phone: <br />