Laserfiche WebLink
FOR CITY USE ONLY � <br /> %�'` Clty Of�1'On0 Date Received: Pennit# �� — � � <br /> ��4 ��\ r�.o.B�X�b <br /> 750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> �� p�� � ���1� Crystal Bay,MN 55323 <br /> 1�� L��, , �o`,' (952)249-4600 Approved Dy(If Required): <br /> .r°kaeicd?-:�� <br /> CITY OF ORONO-SEWER& WATER/ GENERAL PERMIT <br /> (*Note:Somc pe�7nits may require approval by the 13uilding Official and/or Public Works Department*) <br /> (ALL PERM['1'S- Mav be subiect to further review and mav not be issued when the anplication is recei��ed) <br /> GENERAL INFORMATION <br /> l. 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. PeiYnit 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. [ssuance of a permit does not grant this approval. <br /> 7. All worl<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 PERMIT <br /> Check All That A 1 <br /> �Residential (May Require Approval) ❑ Commercial (Approval Required) <br /> ,�(New Connection ❑ Additional Connection ❑ Re-Connection ❑ Repairs ❑ Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: ����7 /�l, �,4c'�� /� � <br /> Owner:��L/,,4r c� e",�'r,��� s Mailing Address: ��v��-� <br /> City: O�-c ,-� � Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �,�fi,�-{� ���,�(A�� Contact Person: � <br /> Address: �7.1-�b�_.�,�-, �,�:�L State License#: G � ��o� -- r���1 <br /> � <br /> City: ..Q,--�-� ZipS S3`'�� Expiration Date: �2-� ��- 11 <br /> Phone: �� � -��� F-�?/� Z- Alternate Phone: � 1 �-- 2 S � -b�i � <br />