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a r � <br /> . • <br /> 1 <br /> ��?x C�"DSE t�;k�'I:T' <br /> O,¢p�O City of Orono ��eiR�iv�d• �t� , <br /> P.O.Box 66 � � - � '� <br /> 2750 Kelley Parkway 0�i�se S1�L1e��naUdn�or�n�am�al�ted : <br /> ���� CrysCal Bay,MN 55323 � ' � � <br /> (952)249-4600 1�iFivcc�B'�.(Tf'R�pft'� � ' .. <br /> .. �_�';.F . �..�.i��. . . ..�: �.� ...:�. .: :::.��_+ .,.. �...���. <br /> CITY OF ORONO-SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Officia]and/or Public Works Depaztrnent*) <br /> • (ALL PERMITS- Mav be subiect to furt6er review and mav not be issued when the aoolication is receivedl <br /> t i s ' <br /> :�.T���.L�1����.��;���, +t;� ,, r� ` '" �t �. <br /> 1. You may apply for utility pernuts by mail or in person at the City offices. <br /> 2. Mailed in applications aze 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. Conta.ct 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 ezpress <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 /> a `I"'��'�Q'�'°��Ri�iT , r 2 � <br /> � t (�ktec���'�7acat A;� 'I ) _ , f <br /> (�.Residential(May Require Approval) ❑ Gommercial(Approval Required) <br /> ❑New Connection ❑Additional Connection ❑Re-Connection ❑Repairs �]Disconnect <br /> .:�Z�l.���:�2'��`��.1���' � <br /> Site Address: Y 3/.� �0 2Th�s'No�� I�R t�e <br /> Owner: ��uu�orv O�so�U Mailing Address: e(�/5 /�10�� S�o��e �IZ. <br /> city: �2 DA�r`� zip: �s 3�6 <br /> I�e�ue Phone: qs 2- �2/- z� g� Alternate Phone: <br /> '�"��.c���a�aa�iun ' � � , ;: <br /> f '� �' <br /> � �' I _ <br /> Contractor: ��-�a IA1��e Y'l��n��aJo Conta.ct Person: � P"��� "1 ���t�P v� �`�c <br /> �- <br /> Address: ��� �9� 'f � State License#: � � r� �� � �� <br /> I �? - 3/ - a a <br /> City: S��v�-r L•�� Zip: -�S3� Expiration Date: °" <br /> Phone: (5�� �`�? " �a S� Alternate Phone: (9�� a�� - S � 5 -1 <br />