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Apr 19 12 10:04a Woodbury Mechanical 651-770-7313 p.2 <br /> � Anr-16-�OIY 01:�10o Fron-CITY OF ORDIfC ;95ZI4i�16i6 T-52D P.001/GOt F-8AB <br /> o$p�,o c�cy n[orono r��teo�rv�$���'��. .,�Y . , ,-� ��`� <br /> P.�,Box6G ' • '' ;. �. �..• • '�� .' • • . <br /> :75�KNky Paricw�y ❑�n-F!'bute.Sl�;D��'f�inatiop Fonn Gbmpipoed - <br /> � � c��t a�r,n,ccv ss�v :.,.- . ,.,:L- . } ,. . , . , . . <br /> (9S1)249�4d04 ��y'�4,,;��; <br /> T <br /> •. � .1'�e <br /> CITY OF ORONO—SEW�R& vVAT�B/CENER,AI,AEI�MIT <br /> ('NeOt:S�ms permi�map�rrquire appr�l by�hc�uildina O!'Aeiu1 andlor Fublic Works Oepc��nrKnr ry <br /> [ALL PEItMII'�- �I(av ha aahiece m fu.��M�iew et m�v nec Ae tawed wh�e�Y�� ��ip ia raqivedl <br /> G�'IlVFOR�VlA•TION - • ��- ' � ' � . '' ' ,""��'� <br /> .,,. . , <br /> 1. You msy spply for utility parmirs 6y nosil or ia peeson at tbe Ciry vtfices. <br /> 2, Ma�ed ia applications are subject to the postage aad l�dliug fee show�o below. Pennii cords wiA <br /> ba seat by rcnun mail within 2 busiaoss days. <br /> 3. Permits aee not vaI[d ant�you reepve a perroit card. <br /> 4, Work must�rat begin�mles9 the parmit csrd is available on tha job site. <br /> S. UdGry cona�rcoon pzrtttits rmy be issued uo liceased codnracrors oNy, <br /> 6. Co�ct the Public Warks Dopaccmenc(952-249-4600}Caa�arility swb as-built]�xaaoAs. . <br /> DO NO'r�,�CCAVATE IN ANY STA��T AN�p01Y0��'AP�►NY MAW wit4ont rsprsss <br /> approvaL oi tAe Public Works Depsstmen� ]esuaoce of s pe�t doas not g;�nt dnis approval. <br /> 'I. All wort musc be doate in aecordaace with State Codc raquireauencs. <br /> 8. Al1 work musc be inspected bcfora i[is covered. Cail(952)249�600,�4thosr potiee nqutred. <br /> • � : . . . . , �;� ' Z;YpE"F}F PERIv1IT• : �. . • ; . . . . , <br /> � � . - . . :�� . �Chec�cAll�T'hatA� �1 � ':��� ' . , ����. � . . , . , . <br /> ��aenrast�May n.e�C�ovail 0 Co�ercial(App�,oval Requa�d) <br /> �New Co�ec�on []AdditioAa�Coaoecrioa ❑Re-Comaecdon ❑Repairs ❑Disconnect <br /> ❑ waco�Availability Conneccion For F�nue Hoo�c-Up[o Wa��7 <br /> Job Sitc/�vyncrT:i�onnatiou: " • . :' � . <br /> Site Address: 7o L.� w� Q. <br /> Owaer• �"o E' Si✓/�1'V.Soit/ Mailing Addiress: <br /> City: _��OA�U Z�p: � <br /> Home Phone; 9S1•�,39—d,�,t,f Alternate Phone: <br /> r'uOdtC9CWI TII�QIIIISt20II�� � ' . ,"' • ., ' <br /> Contcaccor: w��Y /�'�"CH_,�pc Can�act Person: �/� <br /> Address: r9��' STAJVI c,y� e.T' State Yacense#: .S—�6 � <br /> City: (/N� L e�w evp Zip:51'�o Facpiratiou Date: �—,�/— /.� <br /> Phane: GS7- 777-7 f.f d Alteraate Pbone: �/—77S d e Y`t— <br />