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2017-00861 - sewer disconnect
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4105 Highwood Road - 07-117-23-44-0014
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2017-00861 - sewer disconnect
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Last modified
8/22/2023 5:40:09 PM
Creation date
8/16/2017 8:28:29 AM
Metadata
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x Address Old
House Number
4105
Street Name
Highwood
Street Type
Road
Address
4105 Highwood Rd
Document Type
Permits/Inspections
PIN
0711723440014
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• , � r <br /> � Cl'Y`Y�O]�L.Y <br /> }�O�TO City of Orono Datie Rexi�ed: P«mii�t <br /> P.O.Boa�66 <br /> 2750 KeIkY p�Y O Ip-Fionsc�AC Dzte+minati�Form Compl�ed <br /> � ,� Cryscal Bay,MN 55323 <br /> ��t'�x�sHo�-``G` (952)249�600/Fa�c(952)249-4616 ApP�'��Y�RuN�: <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (•Note:Some pumiu maY n9�aPP��aI by the Build'mg O�asl and/�Public Works Depa�ent•) <br /> �' M�V b!fObIECt tU 1Ylrther reviCw sAd m'v nnf hr iaeetrl w I��n f6��n�li...�t..�s��Ya_._�� <br /> GfiNE�Ai,INFORMATTOl� : . <br /> 1. You may apply far utility pernrits by maii or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fee shown below. Peimit cards will <br /> be sent by return mail within 2 business days. <br /> 3. Permits are not valid untit yon receive a permk card. <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> S. Utility connection permits may be issued to licensed cantractors only. <br /> 6. Contaact the Public Works Department(952-249-4600j for utility stub as-built locations. <br /> DO NOT EXCAVATE IN ANY STREET AND DO NOT TAP ANY MAIN wit6out ezpress <br /> approval of the PubHc 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,Z4+honr notice require�. <br /> . T'YP��OF PER�IT � <br /> Check�All That A: <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection ❑Additional Connection ❑Re-Connection ❑Repairs Disconnect <br /> ❑ Water Availability Connection For Fudue Hook-Up to Water <br /> Ja� ��te/Ot��r L�o�afic�n: <br /> Site Address: `��OS� f�/�:,NlvDb,j� �o� <br /> Owner:_'T����Z- �'✓� Mailing Address: . <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contrac�or Tn�am�tion: <br /> Contractor: , , - �� f <br /> � �/N 1�C�Ri�i' � �NG. Contact Person: �/�E L���i,✓� <br /> Address: 2 9/� S� �/�� State License#: <br /> City: T19�'TN��S Zip: S�d� Expiration Date: <br /> Phone: ��l y8�� 1�� Alternate Phone: <br />
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