Laserfiche WebLink
FOR CITY USE ONLY <br /> Olook. City of Orono Date Received: Permit 4 <br /> P.O.Box 66 <br /> 2750 Kelley Parkway ❑In-House SAC Determination Form Completed <br /> 4 . . +• Crystal Bay,MN 55323 <br /> 1.ot4x • <br /> p4`"c' (952)249-4600 Approved By(If Required): <br /> atis <br /> CITY OF ORONO-SEWER& WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department 5) <br /> (ALL PERMITS- May be subject to farther review and may not be issued when the application 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 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 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 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 Apply) <br /> ®Residential(May Require Approval) ❑Commercial(Approval Required),( <br /> ®New Connection ❑Additional Connection 8 Re-Connection 0 Repairs 1�1 Disconnect <br /> Job Site/Owner Information: <br /> Site Address: a 17 (a 5 t') s f LU a'/ Z a. /a 1g1 VC <br /> Owner: Ryan &r).-pn/'P s L/Tne__Mailing Address: 5o I D t1' CS'7. S.44 3o® <br /> City: hip/5 Zip: h, h . <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: 1}e s /tea i-e)L, E Seuxt Contact Person: I h e_ /11'1/ <br /> i <br /> Address: 800 L-o w ry Ave. it/E State License#: C Sr 6 F a P.-+1 <br /> City: nip/s Zip: h,,1 Expiration Date: pec. 3 I , 2o0 8 <br /> Phone: /2 -7.79- 6/ 62 Alternate Phone: .Same_ <br />