Laserfiche WebLink
� <br /> FOR CITY USE ONLY <br /> ` Clty of 01'Ono Date Received: Permit# <br /> � 4��� P.O.E3ox 66 <br /> '� �'� 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> �� )t�� ��� Crystal Bay,MN 55323 <br /> � � � u�� (952)249-4600 Approved Dy([f Required): <br /> �i,��o�t�,.' <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 subicct to further review and mav not be issued when the anplication 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 wil] <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 wark 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: �S jU /G-/ ��D/�� ,��/�. <br /> Owner: ��/���/� Mailing Address: <br /> City: i�'/_>A/�J Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> . <br /> Contractor: S �C���, Contact Person: � � � ���-�� <br /> Address: �Co� G � . 5�� State License#: C� �S�j�,I — �1� <br /> City: Zip:S�>/SExpiration Date: <br /> Phone: �Sa '`��{c�-3(��{Z- Alternate Phone: (�(2- --�0�--g"�p�} <br />