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_ 01�7-'14 14;53 FBOM- T-790 P002/002 F-815 <br /> /-� ��� <br /> ����-�g/ <br /> " � " � � City of Orono � - <br /> � � � ' P.o.Box 66 <br /> �� 2y50 K�ll�y Perkway - <br /> Cryatal Buy,MN 55323 <br /> �(952)Z49-46001 Fax(952)249-4(t6 <br /> CITY OF ORONO—S�V'VER&WATER/GENERAL PERMIT <br /> (*Note:5o�ac pecmits may require approval by the Building Ofiiciel end/orl�ublic Works Dep�4neat�) <br /> AY.L PERMIT - Me be mth er.t te A�rtArx rr.vi. be ib9aud hen fhe 8 licetion ib teceivdE <br /> � 1. You may apply for utility permiYs by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fee shown below. Pe�7r►it cards will <br /> bc scnt by rttum mail Within 2 business days. <br /> 3. Permitss are not valid until you XeCeilVe a�fCf ixllt Cal'd <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> 5_ Utility connection permits may be assued to licensed contrxetors only. <br /> 6_ Contact the PubIic Works Deparanent(952-249-4640)for utllity stub as-buiCt locations. <br /> DO NUT EXCAVATE�N A,N`1C STRE�T ANb b0 NOT TAp AN'Y MAIN wIthout eapress <br /> approval ot the Public'Works�epartment. Tssuance of a permit does not gxant 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 /> �Residential(Ma�+Require ApproWal) ❑CommerciaC(Approval Required) <br /> �New Conncetion []Additional Connaction �Re-Connection ❑Repairs ❑Disconnect <br /> [] Water AvBilabiliCy Conneetion For Futurt Hook-Up to Water <br /> Site Address: �� '�� � �� w�. 17���U� � (7 r�h p ' <br /> � Owner: ����v►.� �fr1�S Mailing Address: � ��� � �Sf <br /> t�� rl�/� Su� � <br /> City: �c.��r�S✓� zip: -�i., .3 3 � <br /> a <br /> USr�,C� . <br /> �Ie�e phone:� q��=�� Alternate phone: <br /> � Contractor: M r n ne.x�t.� ��rt�L�N04S,�-r�ontact Person: �� �� �Yh�,S � �c�. ��v"'`�� <br /> �Address: �X7 W C, � � State License#: . <br /> ���'�� � <br /> City: ���f�sv����. Zip:� ,��ExpirationDate: <br /> phone: �1 S� �9Ss��'I 1 � Alternate phone: <br />