Laserfiche WebLink
�___� F ClT USE OPILX ` �/ <br /> �i�1,IO��1 City of Orono DateReceivedc���f, ,,,,,_ Pern�it# ����"" <br /> P.O.Box 66 <br /> � � <br /> i ' 2750 Kelley Pazkway ❑In-House SAC DeteAmlrxatian Form Completed ' <br /> �y ,�; Crystal Bay,MN 55323 <br /> `"�,�K{�xo�4G� (952)249-4600 Apprc�v�dBy(��'Required): <br /> _..._--, <br /> CITY OF ORONO-SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building O�cial and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolication is receivedl <br /> GENERAL 1NF(}RMATIUN ' <br /> l. 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 PERMIT ' <br /> (Check All That A 1 � . <br /> [�ReJsidential(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 /> 7ob �ite f Qwner Tnformatzon: <br /> ' r <br /> Site Address: � J ���i ✓1►'l /� � t <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Gontractor Infarmation: <br /> Contractor: �5����� S/�J Contact Person: ��� ��l C'�`�` � <br /> Address: �����- /�`• (� State License#: �� �% �'� <br /> City: (���t�1� Zip: ��6�Expiration Date: <br /> Phone: ��'y7�-��� Alternate Phone: �/l�- �y� �T7�� <br />