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<br /> ��ICity of Orono ��1� � x W;��FgM � , ,�-� I
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<br /> P.O.BOx 66 :,, '�a � �� '����I���+9r��F�3Y�'t t �''��6ug�' . i
<br /> 2750 Kelley Parkway ��]yl�'h']fi���f������t1�d�iY�t�i�f.L�l'f��t�4i
<br /> '' ' {` Crysta!Bay MN 55323 z� ��R����'i5�'+��'i ''�r" 8��, °E �,i,,,,�a a :
<br /> y���d•es on�`, �952)249-4fi00 ;'��1�te�k����"������ ,
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<br /> CITY OF ORONO—SEWER& WATER/GENERAL PERNIIT
<br /> (*Note:Some permits may requiro approval by the Building Official and/or Public Works Department•)
<br /> (ALL PEI2NIITS- Mav be aublect tQ further�Ysw end mav not be issued wdea the ennllcation ia receivedl
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<br /> 1. You may apply for utility permits by mail or in person at the City offices.
<br /> 2. Maiied in applications are subject to the postage and hand.ling 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. Urility connection permits may be issued to licensed contractors only.
<br /> 6. Contact the Public Works Department(952-249-4600)for utility atub as-built locations.
<br /> DO NOT EXCAVATE IN ANY STR�ET AND DO NOT TAP ANY MAIN without expreas
<br /> approval of the Public Works Department. Issuance of a permit does not grant this approval.
<br /> 7. All work mnst be done in accordance with State Code requirements.
<br /> 8. All work must be inspected before it is covered. Call(952)249-4600,24+hoar�aotice required.
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<br /> �Residential(May Requ've Approval) ❑Commercial{Approval Required}
<br /> ❑ New Connection ❑Addirional.Connection ❑Re-Connection ❑Repairs �Disconnect
<br /> ❑ Water Availability Connection For Future Hook-Up to Wate
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<br /> � +�!.Mien � �������! 3 , ��s�i
<br /> Site Address; 1 S�S r'1�,0�. ��p„c.�
<br /> Owner: �l���ou� . 1^� Mailing Addxess:
<br /> City: Zip:
<br /> Home Phone: Alternate Phone:
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<br /> Contractor: ��„���v�ca,�, I�m.,� Contact Person: ��
<br /> Address: �l�oo �,�, 1Z� Iq Sta.te License#: �(.o���_
<br /> City: Ma,B,�.�.e,.. Zip:5535,Expiration Date: _ 3�3�l�_
<br /> Phone: Z(,p�—�'iQ- ��Z�U Alternate Fhone: ��*T��v— Z4Z—?rv' Q (
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