Laserfiche WebLink
, <br /> t <br /> FOR CITY USE ONLY .^ /J � <br /> ��� CItV of OI'Ono Date Received: Permit# �C�f7�� I <br /> O� Q P.O.Box 66 <br /> ❑In-House SAC Detem»nation Form Com leted <br /> ��,� 2750 Kelley Parkway P <br /> a <br /> �'��1�,�;�_ Ciystal Bay,MN 55323 <br /> �at���.���i�o�o� (952)249-4600 Approved By(If Required): <br /> ��xo8 <br /> CITY OF ORONO –SEWER& WATER/ GENERA.L PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department*) <br /> (ALI PERMITS- Mav bc subiect to further review and mav not be issued when thc ann��cation is received) <br /> GENERAL INFORMATION —I <br /> 1. You may apply for utility pennits by mail or in person at the City offices. <br /> 2. Mailed in ap�lications are subject to the postage and handling fee shown below. Permit cards will <br /> be sent by rettun 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 pernut card is available on the job site. <br /> 5. Utility coimection perinits may be issued to licensed conh•actors oiLy. <br /> 6. Contact the Public Works Department(952-249-4600) for utility shib 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 pemut does not grant this approval. <br /> 7. All wark must be done in accordance with State Code requiremcnts. <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 Apply) <br /> ❑ Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> \ <br /> ❑ New Connection ❑Additional Connection �Re-Connection ���airs ❑ Disconnect <br /> Job Site/ Owner Information: <br /> �______-- <br /> Site Address: S � I� ��'f ��� S�'`'r� �( ` "� _ <br /> /' � <br /> Owner: ( >���cy c�-r��;,-�, Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> 1 v�.� � �Z�� <br /> Contractor: L��'z�% �'' �l�"`�� Contact Person: ��c k � �� <br /> Address: �3��1'S �L� �ii-�--�' State License #: 5 S 3� � ����`� <br /> City: ��� Zip: Expiration Date: (2 1 � � <br /> Phone: (����� 3��(-5V� �( Alternate Phone: _ <br />