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1 , <br /> ����� <br /> O,¢��O City of Orono �ac��ce�u�1= '�� �er�i��^ <br /> P.O.Box 66 � � � � � � �"'� <br /> 2750 Kelley Parkway �,In���+use5'A�,,p�te�imnarion'�FcrrmC�mpleted �: <br /> rm <br /> ar, �' � . Crystal Bay,MN 55323 ° c� <br /> ���, - �(9sz>za9-a600 �p�roa�a�y�t2eciu�r�a� <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some pernvts may require approval by the Building Official and/or Public Works Department*) <br /> (ALL,PERMII'S- Mav be subiect to further review and mav not be issued when the aaulication is receivedl <br /> �F�'�r���.���2��{��: �, ��� ;� <br /> 1. You may apply for urility pernuts by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fee shown below. Pernut 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 pemuts 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 ezpress <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 /> . � r . . _ � <br /> . T�FE UF:P�1�I�., ..�: <br /> , ��h�ek,�t"-.�.�� �1y`�.< � � <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 /> �� ��te I��r�er��ia��� . � <br /> Site Address: �J� � r� �E�-vDoc� �Cu. <br /> �� <br /> Owner: 6� $ Mailing Address: �3 ��r�'l�� d <br /> City: Gv��-�a zip: 55�'3g � <br /> Home Phone: �P�� ��d � �� Z' Alternate Phone: <br /> r�c�r�r.ac�r�i�n���ii:. :, . <br /> ��� ����^/�Ct-rt�PC�- <br /> Contractor: �Q.� ��L�1�-1�'!Q C-�-�/ Contact Person: <br /> Address: State License#: <br /> City: Zip: Expiration Date: <br /> Phone: �P��' 7Jt� 0278 Alternate Phone: <br />