Laserfiche WebLink
J <br /> FOR CITY USG ONLY <br /> j���—�-f�\ City of Orono Date Received: Permit# <br /> � f '` P.O.Box 66 <br /> � � ❑In-House SAC Determination Form Com leted <br /> � �q } 2750 Kelley Parkway P <br /> ` rt � . ��/ Crystal Bay,MN 55323 <br /> ``•' ' '� -F 952 249-4600/Fax 952 249-4616 Approved By(If Requued): <br /> � f� ( ) ( ) <br /> CITY OF ORONO— SEWER& WATER/ GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building OfE7cia1 andlor Public Works Department") <br /> (ALL PERMiTS- Ma�bc subiect to further revieH and ma��not be issued when the application is received) <br /> GENERAL 1NFORMATION <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 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 a.s-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 Rec3uired) <br /> ❑New Connection ❑ Additional Connection ❑ Re-Connection ❑Repairs .�isconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address:.�����`7J}.�i� �/�� <br /> Owner�,0(�(��/7���-� Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> —�-� �� <br /> Contractor�.1 il-���� ���Contact Person: <br /> Addressl�� ��7� i State License#: <br /> City: ���S�7C(T�i Zip:.'����y Expiration Date: <br /> Phone:��,j� L-�l�� Alternate Phone: <br />