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� i � <br /> �= F�oH crrk csr o��.Y <br /> r-��'���1'�� City Of 01'ono Date Received: % � -��1 7Permit# ZCr I �7"" _,�;� ��j� <br /> P.O.Box 66 r <br /> � +�� 2750 Kelley Parkwa}� ❑In-House SAC Determination Form Completed <br /> `� k j � Crystal Bay,MN 55323 `�j�C� ���«.,� � �L7 <br /> t �`r`�_t``^ (952)249-4600/F�(952)249-4616 Approved By(If Required). <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 PERMI"CS- Mav be subiect to further review and mav not be issued when the a�olication is received) <br /> GENERAL INFORMATION <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 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 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 /> TYPE OF PERMIT <br /> Check 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 /> Job Site /Owner Information: � <br /> Site Address: 3295 Crystal Bay Rd <br /> Owner: Pillar Homes Mailing Address: 1700 Niagara Ln <br /> City: Plymouth Zlp; 55447 <br /> Home Phone: Alternate Phone: 763-475-1700 <br /> Contractor Information: <br /> Contractor: Scherber Companies, LLC Contact Person: Kati Scherber <br /> Address: 20160 75th Ave N State License #: <br /> City: Corcoran Zip:55340 Expiration Date: <br /> Phone: 763-497-1100 Alternate Phone: 612-282-9824 <br />