Laserfiche WebLink
. • <br /> FOR CITY USE ONLY <br /> 0,���Q City of Orono DateReceived; Permit# <br /> P.O.Box 66 <br /> 2750 Kelley Pazkway ❑In-House SAC Determination Form Completed <br /> � ;.� Crystal Bay,MN 55323 : <br /> �yy (952)249-4600 Approved By(If Requiredj: <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 aoalication is received) <br /> GENERAL INF�3RMATION <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 /> TYPE OF P�RIV�IIT : <br /> � ����� Ch�ck All Th�t A �1 � � �� � � � � ���� <br /> �Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> �New Connection ❑Additional Connection �Re-Connection �Repairs ❑Disconnect <br /> Job"`Site/Owner Inforrnation: ' <br /> Site Address: /3S[� �11�d��1► IQr,K �r� k _ <br /> Owner: ��}1 �..,al b�cT_ Mailing Address: �3�vO 1l� - �4rN. �r, <br /> City: Dro>�o Zip: �5�� <br /> Home Phone: �5�.y7/-$�o��_ Alternate Phone: Lo)a2- 5�7- y008 <br /> Contraetor:Information: <br /> Contractor: R�.�r�1,���� (�e,,,�t�rre,� Contact Person: �;�K �c.r•d,�( <br /> � z+�. /rtc�c A P,�I T�:�:,,� C�.r�;�'.�,o,+� <br /> Address: 11�}�0 8 s� �E State License#: a33� <br /> City: n1 Zip: Expiration Date: � +4 <br /> Phone: 7l03- `/97- �/o�N�2 Alternate Phone: Jla3-�$Co- �f7/(n <br />