Laserfiche WebLink
. � _ .. <br /> - FOR CITY USE ONLY <br /> f�:,,�'-��t City of Orono Date Received: Pern�it# <br /> ' � '; P.O.Box 66 � � <br /> �iF� i 2750 Kelley Parkway ❑In-House SAC Determination Forn�Completed <br /> t � � Crystal Bay,MN 55323 <br /> ' ,'"`, � (952)249�600/Fa�c(952)249-4616 Approved By(If Required): <br /> L �/;4c;y(�'�'t-, � . <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Depamnent') <br /> (ALL PERMITS- Mav be subiect to further review and mav not be issued when the aoolica6on is received) <br /> GENERAL INFORMATION <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 retum 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 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 /> � ' �-� �e <br /> Site Address: ���6 y�'f G i <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Altemate Phone: <br /> Contractor-Information: <br /> Contractor: W�� �� S�� Contact Person: 4 �r <br /> Address: ��D� �'���� l� State License#: <br /> City: 1�Oc,�c� Zip:��' 1 Expiration Date: <br /> Phone: �2'�7�����I Alternate Phone: ��-�^7�� (?�� <br /> � , <br />