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12/14!2006 16:42 3131 T J CONCRETE <br /> 76PAGE 01102 <br /> -44"l I 02�r7 urturiU <br /> +85ZZ484616 <br /> 1.4i p•Odtesa F-IM <br /> • <br /> r 4S 00,1 0ty [66 <br /> Oronorustait <br /> oR cq'nx:T ,p <br /> j • • 27,50 Kehey tl:. p••.P Y <br /> <1.of% (61tyset12)249-4;600 <br /> esx wnrss O m�rou §i1e ca'l <br /> 49.4600 ' <br /> p_` a � .a � .•.��. „_ A. •FAhovegy,08 <br /> 39 • <br /> 636j <br /> ITY <br /> ,r <br /> .:' • .C <br /> OffORONO—SEWER&WATER <br /> iGENERAL ERMIT <br /> ( rte:so anmy require"went by xbe 84dieg Ofuiaend/orPubliC Wade De <br /> 1• You may apply for aril' •, . ,• ' •.. .. , . • •.,,;� ,., ' , <br /> 2. Mailed in permits by mail or in ers <br /> be amt b apPucatioas are subject to the postageP on at the City offices. <br /> 3• et y return mail wi i 2 business dayand handling fee shown below. Permit cards will <br /> wits are not valid poll you receive a permit Card. <br /> 4• Work must lot begin ug1C93 tate <br /> peunit 5. Utility connectionpits may becard i licensed <br /> co on the job site. <br /> 6. Contact the Pubic Works DepartmentYed to heed�w'$Gtors <br /> DO NOT " ublic or YN y g (952-249-4600 for utility stub as-built locations. <br /> approval of the Public works Department.TT`ND DO NOT TAP ANY MAIN <br /> 7. All work must be dole c accordance Issuance of a *without p eapreas <br /> royal, <br /> 7. All work roust be with State Code requirements.does lot grant approval, <br /> inspected before it is covered, Call(952)249..4.600 <br /> ., ,24+hoyr notice required. <br /> ' 1.'' ��•. h. I' TYPE '�l•..Y <br /> :;,• ,,1'I. • (sok'Ali • k '1 I":::.i..,' I '. <br /> Residential(May Require APptOval) 0 Commercial(Approval Required) <br /> 4 ) <br /> ;Eq New Connection, 0 Additional Connection <br /> Re-connection ❑Repasts ❑Disctumect • <br /> PckSite/.. eti n binialioa; , • . , <br /> Site Address: _0 Li , i by t'�• S1'IAYY, b nV�� <br /> Owner: Mailing Address: <br /> Cary; _ Zip: <br /> Home Phone: Alternate Phare; <br /> •I <br /> .55 <br /> contractor: <br /> J (,bl'sGYtf- Contact Person: vat �rrv� <br /> A 7,0 4A,1�13 w J State license#: <br /> fy. rn Z:p Expaatioa Date: <br /> Phone, '4 Alternate Phone: (OkZ �5 2 a ul <br />