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. <br /> @4/85/2097 16:66 7632635912 ADVANCE WAL.t_ SYSTEMS PAGE 82/93 <br /> Ft?k CT!.l►S�ON1;X <br /> p� City of Orono i�ed; . Perm;tµ <br /> ' �.0.Bax 66 <br /> �� � 27501Csllcy porFvnry n- .ne 5AC;Deoerininacion Form C mple!cd <br /> � � }���,�1�''. Ctyatnl 8try.MN 53323 <br /> �''���� (952)249-4600 ' By(If IlCquircO): _ <br /> CITY OF ORO1V0—SEWER t�WA R G ERAL P�RM1T <br /> (•Norr.Some permitc m�y�uirc apprcrnl by[he kluildin� ici 1 n r Public wrxks Deportmcrn•) <br /> P�RMT - r S� r hrrr v ' � { )' <br /> CEN$.RAI.l.NFO.Rri�FATlON <br /> l. You may apply fprutility perniits by maif or i�i per ¢I e I offices. <br /> 2. hiafled in appl�catfons nre subjeci[a the posrnge an n ng e shown belpw. Pennit c rds will <br /> be sent by rciurn mait within 2 business days. <br /> 3. Permits nrc not valid until ynu recetve n ue�riit <br /> ' � . 4. Work must siot Geqin unless the permlt card.F avai e ih � b sit�. <br /> 5. Ucilicy canncc[ion permirs may bc issucd io liccnsc n only. <br /> 6. �oncact:he Pub[ic Works Depnrtment(452-249-46 f ��til stub as-built lxntions. <br /> DO IV07'E:CCAVAI'E IN ANY STREET AfVD T P ANY MAIN witltous xpr�.cs <br /> ' approvAJ of the Public Wo�ks Departmcnt. Issu �p r it does nOt gr�n��hiS np rpval. <br /> � 7. Afl wArk mirct hr dnne in Ar.r.nrrlrnr.r.wiih S1afP(,:, r. iri.t .+fp, <br /> 8. All�vork must Ue inap�cted beforc it is covsred. C 4 2 4G00,24+hour no(ite r uirod. <br /> � � r��F�or•.�a� �; .. . . . _ . <br /> ' � . ChccIc All Thaf l � <br /> Residzntial{May Require App�oval) ❑Co� er hl( provt�l Rcqiiired) <br /> • � <br /> �New Co�tnectlon �Addl�lonal Connac�ton �R n ti �ReNAirs ❑flisc nnect <br /> .I�h Cite/.ncvi�:Pr Tn'f,pnn�t'innr . <br /> Site Address_ �,��Q -- l..ON (7 �..�• � fl _� <br /> pwner:�✓ � �Yy/iG�s� Ma'tl' k�r / —t�vJ t9�,B/y� <br /> City: O/'74ND Zip: � I <br /> .�$�3� <br /> Home Phone: Alter o : ' <br /> Contractor lnforination: <br /> r t <br /> Contractor: ��-t� ��r'.����C(n �✓11�h Cont P o� : �'�, <br /> Address: _:U�X �3 �_ StFte e e L��•�i)(c <br /> City• �r.tY�' • ) Z.ir: 5���✓�F.rpi, g � a ^Q <br /> . 1 � ` � j � <br /> Plionc: � ��/ �7 7 •�S I 5 �lter' o� : � � �� 7 <br /> � S �7�� ���� <br /> ; ; <br /> T 'd STSO-GGZ-TS9 ieoiueyoaW y��oN dit dL0 =60 GO SO �dd <br />