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RECEIVED FaR cx�rx us�a��.�r <br /> �Ot�t4 City of Orono AateReceived: �,�„_,,,,,,,,, Pert�►it#�,,,�� �J'r� <br /> P.O.Box 66 <br /> 2750 Kelley Parkway MAY 31 2�i 7 ❑Iu�House SAC Determination�'ornt Completed <br /> y ,� Crystal Bay,MN 55323 � „ � <br /> `'� G� (952)249-4600/Fax(952)249-4616 Approved}3y(If Required): <br /> �'� S H pa'� <br /> C�T1(OF ORON <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building O�'ficial and/or Public Works Department") <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aanlication is received) <br /> GENER.AL 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. 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 /> TYPE OF P�RMIT <br /> ' Check A.II Tl�at A 1 <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 /> Jab Site/Owner Information: <br /> Site Address: ���1 r��4���w c�-c..'� `� !— <br /> Owner: �v���1� ��. Mailing Address: <br /> City: C� '�� -L � Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �a���y ��� ��-5 Contact Person: ��� 5��� �- <br /> Address: ti�y° � �� �-� 3 State License#: (��.� �f y`��' 3 <br /> City: K u P�`-`�"S Zip:S y 3y 3 Expiration Date: � Z-- 3 (�r � <br /> Phone: `�SL �i�€� ���3 Alternate Phone: �� 2 `�3 `( 2��s y <br />