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t <br /> �� _ ' <br /> � '1��Y� 'S�4k�I;€�' �� <br /> I�� City of Orono �a�.�� ��,��� <br /> ���`�'� P.O.Box 66 � :-; � �� � � �: <br /> 2750 Kelley Parkway D�t1�T�uss,S+�.� namm►�'�r�7n C�tm}llettsd <br /> a� ,. � Crystal Bay,MN 55323 <br /> "���p4� (952)249-4600 �ma'�'83'�I�`�teClu�Te�), � �, <br /> �' <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some peimits 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 aaolication is received) <br /> ������"����''��1J�� 3 ,;:'wq� �'' <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mailed in applicarions are subject to the postage and handling fee shown below. Perxnit 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. Urility connecrion pernuts 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 Pubiic Works Department. Issuance of a pemut 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 /> 3� ������ <br /> ���i�C+���e�c'L�.,�. �� fi r <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> ❑ New Connection ❑Addirional Connecrion ❑Re-Connection �Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> �c�`i����e�t�w��`7�ifc�rniat3o�1 . . ,. <br /> Site Address: Gl I Cl S� ��� S�'�G' � � ,� <br /> y� ��� � s � y�9� �/ ' � �.�.��� <br /> Owner: I�.'� ° �^ f `��/�� Mailing Address: �5 �� <br /> City: ���i�.-�� Zip: <br /> Home Phone: ��Z Z��� �y`� � Alternate Phone: <br /> ���n�rac#flr�`�rma�"icc�n <br /> Contractor: �(,-%�°^ ��� ��s �ontact Person: �� �1 <br /> � <br /> Address: �D �o� L�7 State License#: �1� `8��6 � <br /> City: /��_ Zip:���5�Expiration Date: � l / L <br /> Phone: ��1 �S/— �t��� Alternate Phone: <br />