Laserfiche WebLink
Apr 19 12 10:05a Woodbury Mechanical 651-770-7313 p.3 <br /> ;Apr-19-Z012 07:4fAm Fran-CITY OF OAONO +952Z414616 T-b20 P.00Z/OOZ F-3l6 <br /> .� <br /> ❑SAC Cleree(Z012 Ytate a A,,36S.0o) s <br /> (SAC C�arg,e�st socompmy all acwer permit applicstiosts unleu ptepeidl <br /> (Orono GSty Ss��'csa det�cr�iae if xpplicablc) <br /> (IT aot prepzid,a sewer cdnnee�ioa perm►t rrill oat be is�aed) <br /> �Sewer Consectino/Diatndneet/Repair(S50A0/Per Stub) $ <br /> Pip�size iriches;material Schd 40 eir tested; casc iroa <br /> �--� ❑WRter Connectioa/Diceonneet!Repair(s50.00lper Stab) S .���� <br /> Pipa size„�lncius;mareriel Schd 40 eir res=e�; copper <br /> ❑wacv Ava��va;�y For rbrure eso�c.u�ro ws���so.00� s <br /> ,�. . water Avslabilitv Emii�aiic� __ ....,... _. <br /> ! Contracsor iascaDed line io iaside othouse foar ti�ture 2�od�up. <br /> Ttiic line wili be iagpected by the Public Waks I?eparcraent. <br /> Rec�uiorcd BeFor�Water Com�ection Peimic is 9o�rrt; <br /> 1. Iseuo Waber.Meter�Hom pwndt <br /> 2. Aay Additioml Cemaecaon Fees Paid(If Applicebit) <br /> Iss�t, Waca Cnnaectian Permit: <br /> 1. Cv]lect Penmit Fee�Issue Watcr CoYurecoon Permit <br /> 1. SUBTOTAL of Petmit Requcst�d: g ,j D- �d <br /> 2. STAT�S[1RCHA[tG8 S 5.00 <br /> 3. P�STaGE&HANDLtNG(Only on Mail-In qpplirations) S 2.00 <br /> 4. TOTAL�ERMIT FEF,(Add Lis►cs 1•3 Abovt) � S,�.OZJ <br /> � ' � .�ADDl'�LONAL INFORMA�ION—•VVATER METERS' � � <br /> - WA1'S�U�TERS snust be picked up aad paid far at Oro�o C!ry Halt��hese are on a�te pe�nm;t. <br /> • '1K�A��1vI�T�R3 must be set sad ae�led by Orano Wster Depsrtmmt(952) 249-4600, npon <br /> eomp�etion of ineter ia�taltstaa. <br /> � <br /> Tho undcr'signed hereby aPplies m the City of Orono for issuance of a Utiliry Perm�t,a�to do <br /> all work in saict aeeordance with !he prdinartees of the City and the regttlations of the State of � <br /> Minne6ota,aad catifie�that all statcn�rnts mack an this appiieation sre,tnae and comct. <br /> , A�����: ' nat�: —/ S - /Z <br />