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• . . <br /> t <br /> �0��� Ci of Orono �C���Y <br /> tY Dau Recxi�ed: Per�mit# <br /> • P.O.Box 66 <br /> 2750 Kelky Parkway Q In-Honse SAC Determination Frnm Complet�d <br /> l y � Crystal Bay,1�M 55323 <br /> �`��,� ¢�,�� (952)249-4600/Fax(952)249-4616 Approved BY('�Rtquined); <br /> kcstio <br /> CITY OF ORONO—SEWER& WATER/GENERAL P�RMIT <br /> (*Noh:Some permits may require approval by the Building Official and/or Public Works Deparhne�t•) <br /> �ALL P�R1�'�1TS- M�V b!EUD�ECt M fnrfh �.�.�E4Y i�d OIiV 00�Dt iianwrl`JYblD L�!!D ir�Hne i�rr�nivwll <br /> Gfi1�E�tAL INFORh�lAAT'IOl� ' - <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. Utility connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Worlcs Department(952-249-460U)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 ootice required. <br /> TYPE OF PERI�'i' <br /> Check AI1 Th�.t A �. <br /> ❑Residential(May Require Approval) ❑Commercial(Approval Required) <br /> ❑ New Connection dditional Connecrion ❑Re-Connection ❑Repairs ❑Disconnect <br /> �ater Availability Connection For Future Hook-Up to Water <br /> l� <br /> Joi� Si�/()vvncr Ir�a�ation: <br /> Site Address: l� � � �� � � <br /> Owner: �I�c(� �z4�2�9,.. Mailing Address: 1 ( �_ <br /> c��y: d�v zlP: S 5.3�Y <br /> Home Phone: ��Z —2sc� -�l YG� Alternate phone: <br /> Contract�r In:formation: <br /> Contractor: �9 0�� S`� Contact Person: � 4� � <br /> l� J� �� -� � <br /> C <br /> Address: � O , l�State License#: <br /> City: !/�e�`^� Zip: �3�Expira.tion Date: <br /> Phone: �'�'��?�"��� Altemate Phone: �2"2 l—q�?� <br />