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. <br /> • �_.—_..` I U��O1�LY -7 <br /> ����0�� C1tyOfOYono DateReceived: Pe�mit# /� ���/ � <br /> 1 `, P.O.Box 66 <br /> � �1 ; 2750 Kelley Parkway ❑In-Hoase SAC Determinallon Form Completed <br /> �y\t� y.�� Crystal Bay,MN 55323 <br /> � (952)249-4600/Fax(952)249-4616 Approved By(Il'Royuired): <br /> \�\Ais�io�'� <br /> --_--�• <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may requ've approval by the Building Official and/or Public Works Departrnent') <br /> (ALL PERMTI'S- Mav be subiect to further review and mav not be issued when the auolication is rcceivedl <br /> GENERAI,INFORMATION <br /> 1. 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. Urility 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 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+�our notice required. <br /> TYP�OF PER�vIIT <br /> Check All That A i <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> � � <br /> New Connecrion ❑Additiona]Connection ❑Re-Connection ❑Repairs ❑Disconnect <br /> � ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Ir�ormation: <br /> Site Address: `l � ��0✓� 'J � �t� /n r <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contract�or Inforrnation: <br /> , <br /> Contractor: � ����''1 '�� Contact Person: i'4 �� Q�� <br /> Address: ���D� CO� _� �� State License#: <br /> City: �C` Zip.�s�� Expiration Date: <br /> Phone: C�� T �"�`���1� Alternate Phone: 1�1�2- 7��� ��7� <br />