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Oct 18 ,�f.18 �9: 14a p. l <br /> .- , <br /> 1� 1'1'Y S:ON I.Y <br /> , 4p� City ol'Orono u�w tu;�:����:y�/ rmi�pc�Do�' ��'�� <br /> ,'O O' r.o.���rf,�� <br /> . �� 2750 Kulluy Ikrtl:wuy ❑In-I lnuac tiAC Lkt�rmin•rluw�I+trrm CO�►IplolCJ <br /> ,;•'r• w•� Cry.cud liay.MN 55323 <br /> � ''' � `~ �V52)2A9.4�ib0 Appn�vcdliy(IfRayuircd): <br /> t • a.• <br /> � �s:wo�'� . . ... . . <br /> Cl't Y ()F()RONO—SEW�12& WA'1'�12/G�N�:12AL P1iiLMl'C <br /> (•Nal�;tiunlc�nnil�n�y reuuim anDraval try tFk RuildinE�(.)llicial and/pr Public Wprk+I�tnrlmcnl') <br /> (;1�iP1;RM1'I'�- Msv bc subicat te funhrr r�,wiSw a��J ntav i�u bc iM���cd whcn Ili� �Dlicnlivn'r rcccivcdl <br /> G1�NL'_'RAL INrnRMATTON <br /> 1_ Y�u m�y ap��ly for ulilily permiLs by m:iil ur in person at the City ofl�iccs, <br /> 2. Muilud in�ppli�Itiotts nre suhjcct tc�lhc pc�tih��re s�nd hsindlin�.;fcc shown bclow. Pcnnit c:irdti�vill <br /> (x;scnl by rc:turn m�il wllllln 2 businca�d�ys. <br /> 3. 1'crmih are not�aliJ until you reccivc•r permit c•rrd. <br /> 4. Wurk musl not hegin unloss th�{x�nnil card is:�vail:�blc un �hc jub silc. <br /> S. Utilik��connection permilx muy bc itiwcd to licenseel contractots only. <br /> 6. CimtacL thc I'ublic Works D�p�rttncnl(952-249-�16p0)For utility s1uU:�s-bllilf IOCSItIQnS. <br /> UO NOT EXCAVAT[�; 1N ANY S'I'Kl:l�:'f AIVU UU NUT ThP ANY MAIN without capress <br /> approvr!of thc 1'ublic Wark�Dup•rrtmcnt. Issuancc of� pc;rmi�do�s no��i'111[llll�8p�11'QViII. <br /> 7, All work mutit bc done in�ccord�ncc with Statc C�cxie rc:quircmenrs, <br /> K. AII work musl b�insp�,�c:tuJ bcti�re it is covcrcd. C'�tll(952)249-�6U0,24+huur nuticc reyuircd. <br /> ,_. ._..— •CYY�,UF PERMIT —�---.........�..,...�M. —..---- <br /> � (Chcck All 'l'h�t 11�?P1Y)...._.. � <br /> ❑ 12osidenli:�l(May Rcquif•c Approval) ❑Can�mcrCial(Ap��rpv�l Itv'K'�uii�d) <br /> ❑ N�w C:onncction ❑AJdi�ianal Conncction ❑ It�•-C:cmncc�liun ❑ Rcpairs �nisconncck <br /> Job�il�/Owncr Inl"�rn�ation: <br /> �' ���,..._- -Pla <br /> Sitc;Address: 4,� �.� � � w <br /> ' ,�^,-!��� " 1 <br /> Owncr:� .�f'�._.�)f �� Mailins I�ddress: ' ���7L� �.� t/L� � <br /> City: ���'�(,��iv`��. 'Lip: J J� ��/ � <br /> Hom� I�honec /�lt�cnatc [�honc: <br /> Ccmtractpr InfO[malion: V�� <br /> Conir�ctor; .l � �' _ <br /> ,j��J Contuct P�cson: L�►r � <br /> Address: c:a��%�f�... ���� '`� � 5[�tc Liccntic#: �Ill���' <br /> C'itY: �.�,_��G'li���� 'LiP���7 R�riration ll�tc: ..��_�� ' l(.���1 <br /> ` � <br /> Phcme: ��l%�'�/L�'� Alt�rnate Nhonc��/�,�'�o����%� . <br />