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!� - � <br /> ;��:� �� ��us�o��,x �� �� d�o� <br /> ,�p� City of Orono 33�tte�Rrc����+� � �ermit#��,, <br /> 0 � P.O.Box 66 �`���d"�-,.� ' , a; � <br /> 2750 Kelley Parkway Q Init�i�us�S�iC�DatecimnaU4tf Form GomglOted ,,��'��� <br /> � , � Crystal Bay,MN 55323 � � ��, ` ' , <br /> ��8� (952)249-4600 �rnv�4 v utred)� <br /> . <br /> � <br /> � � <br /> •.:��_��,.�,:�,;� .._ . ... � � <br /> CITY OF ORONO-SEWER& WATER/GENERAI. 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 aoolication is received) <br /> CJ����..-�,���,����� i .� , , <br /> 1. You may apply for urility 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 pemut card is available on the job site. <br /> 5. Utility connection pernrits 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 /> � �� °������.� � �� =4�,�� � � <br /> ���� ; � � � �� � �� � >e � �� ��� <br /> } �L � <br /> �,.� -��'��' � � � <br /> � a,m � .�°. ..v��..� �T e <br /> �esidential(May Require Approval) ❑Commercial(Approval Required) <br /> ��New Connecrion ❑Addirional Connection ❑Re-Connection ❑Repairs ❑ Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job�Site 1(J.wiier�Infot�iafion: <br /> Site Address: i J`��� /►'`����� �� <br /> Owner:��� ��1�HSon �O�iS� MailingAddress: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Cci�tractor Irrfonin�t�t�. :�' <br /> . ' C�r� <br /> Contractor: �S�O�� S�(.J Contact Person: �J�l�� <br /> Address: b�D� �• �� State License#: <br /> City: fililo�.t✓1� Zip:5���1 Expiration Date: <br /> Phone: �0�-�7�'7�l� Alternate Phone: (j��- ?y� �?7S <br />