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� , r <br /> F�R CI1'I'I1SE 17NI�X , <br /> �,���,� City of Orono Date�Recz�ved� PermiE# <br /> P.O.Box 66 ` <br /> � � 2750 Kelley Parkway �In-�Ioiise 5AC DetErni�nation�orrn Compietect � <br /> � ��� ��� Crystal Bay,MN 55323 �'� ' ��' ; ^; '� <br /> � (952)249-4600 Approved By(If Requiredj <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 aoulication is receivedl <br /> GEN�RAL Il�FURMAT�QI�; ' <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 approvai. <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�(3F PERlV�TT `: <br /> F;,_ <br /> : Gheck A�1 That A; � ): <br /> . <br /> Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect <br /> Job Site/�Owner Tnf�rma�ian;. ` <br /> Site Address: ���� � � C e, <br /> Owner:� ,� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Coritractor Info:rmatiori:: `' <br /> Contractor: �0 � Q � `S �� Contact Person: �� h��" <br /> Address: �� b0� � State License#: J �+7 �.� -� � <br /> City: '��.,n � (`',S Zip���� Expiration Date: �a^ � �� �� <br /> Phone: �S�'i�7 �- '�-3� � Alternate Phone: �o �� �,� b (o2�-C� <br />