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�. <br /> r <br /> FOR�TTI'•U3E ON�.Y . <br /> �,���� City of Orono DataReceived:� "�� Permit#,- <br /> P.O.Box 66 � <br /> 2750 Kelley Parkway ❑In=Hnuse SAC DeterniinatiomForm Complete8 , ,: <br /> �� � � Crystal Bay,MN 55323 `' ' ' <br /> � (952)249-4600 Approved By�(If Reguirad�:� <br /> CITY OF ORONO-SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoulication is received) <br /> �GENER�L INF��NII�TI4�T <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 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 express <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 notice required. <br /> ' T'Y�'E�OF:PERIVIIT <br /> Ch'�k�,�1 T'hat�, . 1 <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �New Connection ❑Additional Connection �Re-Connection �Repairs �Disconnect <br /> < <br /> Job Site/(Owner Int'arrnatinn: <br /> Site Address: ! ��V /(�O/�� �f w� �/� <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information_' <br /> Contractor: 1,�,�e��o�z�C yGJ Contact Person: �(`��o✓i C la.i'� <br /> Address: �9��� �U- ��c��j �j State License#: ?��{/v� <br /> City: (/V( Zip:S���Expiration Date: (�-3�-�� <br /> Phone: ���J U7�-Y Z�� Alternate Phone:�6i����l-S77 S <br />