Laserfiche WebLink
�' . <br /> � <br />�. _ _ _ <br /> : �oR cr�[1��o�r�,Y <br /> 0,���Q City of Orono Datelteceived; Rermit# ` <br /> P.O.Box 66 <br /> 2750 Kelley Pazkway O In-iiouse SAC`Taetermination Form Completed <br /> � ��� � Crystal Bay,MN 55323 � �: �<, . �, <br /> �u " (952)249-4600 Approved Bp:(If Reqmredj: : <br /> ��a�y'►�' <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 aoalication is received) <br /> �G�TEI�,L.1NFORM�TIZ3� � , . , <br /> ; <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 /> ; _, . v <br /> �� �� � _., � ,: � TY1'��0�P��TT �' �� �� � � ��'�� � `� � <br /> (Check=A�l'T�iat� 1 <br /> '�Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> '�New Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect <br /> Job S�tel��wner"Information: <br /> Site Address: —�� �lo �—J- � � /�L . <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Caritractor Infor�ation: <br /> �� r <br /> Contractor: ��' ��°�"`� �� Contact Person: �/'i 4�r C�g�/'� <br /> Address: ���( ��� �� �, State License #: � 8`�{��`'� <br /> City: (/�Ou-'l Zip:5�3��Expiration Date: /-�-3�'a 7 <br /> Phone: �4'�� ��f?��`F9�� Alternate Phone: � 6� -2 ?�' g ?? S <br />