Laserfiche WebLink
i <br /> � . . <br /> -_ ���TfY SE O1VLY���,��- �� <br /> t���N�`�, Clty Of OrOno Date Receive . � t# <br /> � P.O.Box 66 . <br /> � ` 2750 Keiley Parkway ❑In-House SAC Detemvnation Form Compl <br /> �,,`y � ; Crystal Bay,MN 55323 )� • � <br /> ", � �� r (952)249-4600/Fax(952)249-4616 Approved By{If Reqwred): �r <br /> �''a�rxf��wti 1 � � � <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 furt6er review and mav not be issued w6en the aoolication lv receivedl <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. Permit cazds 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 PERMIT <br /> Check All That 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 /> Job Site/Owner Information: <br /> Site Address: 347�yric Ave Orono, MN 55319 <br /> Owner: Joshua/Markum Builders, Inc. Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: 612-998-7818 <br /> Contractor Information: <br /> Contractor: Joshua/Markum Builders. Inc. Contact Person: Mark Olson <br /> Address: 7867 Eastwood Road State License#: BC631542 <br /> City: Mounds View Zip: 5511 Expiration Date: 03/31/2018 <br /> Phone: 612-998-7818 Alternate Phone: 612-940-0041 (Corvl <br />