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� . , <br /> � <br /> - �OR�T�:�7SE 4AiL•LY <br /> a,���O City of Orono �T�ateReceiued:, P=ermit�# <br /> P.O.Box 66 <br /> 2750 Keliey Parkway �„�dn=F�OUSe`�AC�Dclermtriarioa:Fbrm�s�leted'� <br /> Crystal Bay,MN 55323 ' <br /> �L` � (952)249�600 a�pproue��B�+�(if�iequireil) ' <br /> ���Q <br /> CITY OF ORONO—SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Offcial and/or Public Works Department*) <br /> (ALL PERMITS- Mav be subiect to furt6er review and mav not be issued when the soolication is receivedl <br /> �s�''TEI�T���.�,�T�(�R�i���1*1 , <br /> 1. You may apply for utility permits by mai]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 /> ���'�����' <br /> � ��ie�:�.�Z��a�t. <br /> `,�tesidential (May Require Approval) ❑Commercial(Approval Required) <br /> �New Connection ❑Additional Connection ❑Re-Connection ❑Repairs �Disconnect <br /> ��cr�Y��te F1<pa�er.�Z�or=nn��iQn:� <br /> Site Address: � � �h N � �o n � f' <br /> �/ lv���,��..� �.�;I� <br /> Owner: er►� 7-U Mailing Address: <br /> City: �3 ��-t Zip: <br /> Home Phone: Alternate Phone: �� �' ��6 � �S� � <br /> Contractor':In�orrnation: <br /> ����so� �� � w, � �� <br /> Contractor: Contact Person: <br /> Address: h"' �D� `7 o Z- State License#: f'c/2 6t4�/6 8 <br /> ,r� �53� 3 <br /> City: />`` �`�'' Zip:� Expiration Date: � � �� <br /> Phone: C�Z' ��� — �t'�6'� Alternate Phone: <br />