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Jul 31 13 06:45a Knapp and Sons Septic LLC 320-369-3795 p.1 <br /> CIT USE UNLY <br /> Z�U/Vr) City ofOrono DateReceived� ?,Perroit#�� 7�5 <br /> P.O.Box 66 <br /> !\� 2750 Kepey Parkway ❑In-Housc SAC Determination Forn Completed <br /> , ,,\ i , , Crystal Bay,MV 55323 <br /> ���'�,,� (952)249-4b00 Approved By(If Required}: <br /> CITY OF ORONO-SEWER&WATER/GENERAL PERMT� <br /> (k lYote:Some pecmits may require appioval by che Building O�cisl and/or Public Wo[ks Department s) <br /> G1LL PERMf15- Mav be subiect to f�rdrer revicw and mav not be issaed w•�e�Ihe:oolicatiu���'+ce4i_vcd.) <br /> GENERAL INFORMAI"ION <br /> t. You may apply for utility permit�by mai]or in person at the City offices, <br /> 2. Mailed in applications are subject to the postage and handling fee shown beiow. Permit cards will <br /> be sent by return mail within 2 business days. <br /> 3. Perroits are not valid ontil you receive a permit card. <br /> 4. Work must not begin unless the permit card is availabie on the job sice. <br /> 5. Utility connection permits rnay be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-244-460Q)for utility stub as-built locations_ <br /> DO NOT EXCAVATE IN ANY 9TREET AND DO NOT TAP ANY MAIN withoat express <br /> approval of We Public Works Department. lssuance of a per�nit does not grant this appmval. <br /> 7. All work must be done in accordance with State Code requircxnerrts. <br /> 8. AEl work must be inspected before it is covered. Call(952)249-46(}0,24+hour notice required. <br /> TYFE OF PERM[T <br /> Check Atl That A 1 <br /> ❑Residential(I�iay Require Approval) ❑Commercial(Approval Require� <br /> ❑New Cormection ❑Additional Connection �Re-Connection ❑Repairs �Disconnect <br /> ❑ Water Availability Connection For Future Nook-Up to Water <br /> Job Site/awner Information: <br /> Site Address: ��a� �C1�`�"�� //rt� ����ve <br /> Owner: �f Y co,�sfirv�tro., Mailing Address: � � �� ��r%.-, �., �-'j,� <br /> City: �%'��t� � / Zip: ��y�// <br /> Home Phone: Co�� -y 1�U- �/�( Alternate Phone: <br /> Contractor Information: <br /> Contractor: �� o..s �'�ontact Person: �- � <br /> Address: ��5�7y /�v� �S� Stai:e License#: ]��(o �G� <br /> City: �'/G�� Zip:/�/'�'Expiration Date: �� ,3� o�G'� 3 <br /> Phane: %�.3��/7 7--���� Alternate Phone: 3.�0-3� y-3��1 <br />