Laserfiche WebLink
. <br /> � . /��ov <br /> FO IT GSE ONLY G�' <br /> ¢Q� City of Orono Date Received: ern�it# �� ' dd�/ <br /> P.O.Box 66 <br /> ��„.� � 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> � ��f�,�� �F Crystal Bay,MN 55323 /��� � <br /> ���'��.yo (952)249-4600 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 PERMITS- Mav be subiect to further review and mav not be issued when the aaalication 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. Pernut cards will <br /> be sent by return mail within 2 business days. <br /> 3. Permits are not va(id until you receive a permit card. <br /> 4. Work must not begin unless the pernut card is available on the job site. <br /> 5. Utility connection pernuts may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-4600) for utility stub as-built locarions. <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 pernut 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 Apply) <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: �� �� �� U� ��� S/ U/1 1���iZ <br /> Owner: i�C'-i� C �Ty Mailing Address: <br /> City: � f2 C>n C% zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: ����K,G S ���Sc�.�; Contact Person: ������� ��������.Cy� <br /> � <br /> Address: ��0 3�1� G i/ %�t� �� State License#: <br /> City: ��i/zQ/c-L-� M�Zip: S��ExpirationDate: <br /> Phone: �r���- ��� 3��7 Alternate Phone: �J`�� �- �i��' �J 5�..� <br />