Laserfiche WebLink
Oct `s0 0� O1 : lOp p. l <br /> FY1R CITY USl�UNLY <br /> City Pf Orono nau Reccivcd: _ Termic#��S � <br /> 4�� • r.�,A�►�� <br /> � � 27501Gcllay 1'�rkway 0 In-1•louse 5hC Delemtimlion 1���o„���ea <br /> a ••� ,C Cry�tal Wry,MN 353Z3 <br /> �y+��Mo�,a (9i2)249-A600 Appronx!l3y(ll'Ruquim.�l): <br /> C�TX OF ORONO-S�:WE�t&WATER/GENERAL PERMiT <br /> ('�Note:Somc pcqni4�may rcquiro uppmvul by the t3uilding Otticiol and/or Public Work9 Deportmcnt') <br /> (ALLl'F.�ll'a'S- M�v Ae sebixt to fnrll�r r�iew�Hnd�w,w no16r i�u:aeu.rhen ILe.yonllcxlioe id[ecciva!f <br /> GFNI:RAL INFORMATlON <br /> 1. You may apply'ror utility permits by m�il or in perspn at d�e Ciry off cts. <br /> 2. Mailcd in applic�ions aro subject io the poslrgC and handling fi�szhown bclow. Pcrrnit cards will <br /> b�sant by ri:tum msil within 2 bacin�,t days. <br /> 3. 1'cnmfta are no�vplid until yoa reecive a permit card. <br /> 4. W�rk musl aot bcgin unlcss thc�crmit card is eveilablc on thu job silc. <br /> 5. Utility conneetioe permiu mAy bc issucd to licensed corrtruct,prs on1y. <br /> 6. Contact thc hublic Works Department(952-249-4G00)for utility�tub�c-built locations, <br /> DO NOT EXCAVA'1'�IN ANV STRR.ET ATTD DO NOT TAP ANY MAIN wittioat ezpr� <br /> sPpravAl of tlic Poblia Worlo Depariment. I'gsuance of�pennit cJoes not�rant this approv�l. <br /> 7. All work must he drn�e in accordancx witb StHte Codc rcquircmcnts. <br /> 8_ AI1 work must be inspectr,d bcforc it is covered. Call(952)z49-4600.�dt6onr potiee requirCd. <br /> 'tYPE O[�PERMIT _....�.�. � <br /> (Chcck All That Apply) _ _ <br /> �Resi4entixl{May Rcquirc Ap�oval) ❑Commorcial(Approval Rcquircd) <br /> �Ncw Conoediosi ❑Additional Connection ❑Ro-Connection ❑Repai�s ❑Disconnect <br /> 3ob Sitc/(hvner]nformation: <br /> s��;nda��.s�: � - ��r . -a�l�Y'-�� <br /> . <br /> , _!� � ,���� J <br /> Owncr. • IG �1 )��� C ���j Mailing Address: l':r�`-�' .����-(�V��./✓� <br /> c�ri: s ��u�- ���: �l ,.��/� <br /> ., , ' ^1' '� - r , ,, � <br /> H�me rh�n�. : . ':7� Alt�.�rntiu.Phonc: <br /> Contractor lnformstion: <br /> �, <br /> , <br /> Contractor: � .�`�. Coniacl Pcrson: � �CfC����l <br /> J <br /> Aaa�ss: G�� �7 Z�s��L����;#: �- ��%/�-�_ <br /> City: � ' ' ��-�.-�- �Zip:� ExpiraLion Datc: <br /> ' / ,/ �- /,,� � <br /> PhonC: ..��� '`7(�,'I' ��LL Altk;rnate Phone: CS� ��� � <br />