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2015-01506 - sewer disconnect
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Orono Orchard Rd S
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190 Orono Orchard Road South - 02-117-23-21-0009
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2015-01506 - sewer disconnect
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Entry Properties
Last modified
8/22/2023 4:06:59 PM
Creation date
5/18/2018 2:54:53 PM
Metadata
Fields
Template:
x Address Old
House Number
190
Street Name
Orono Orchard
Street Type
Road
Street Direction
South
Address
190 Orono Orchard Rd S
Document Type
Permits/Inspections
PIN
0211723210009
Supplemental fields
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Updated
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p <br /> • FOR CITY USE ONLY <br /> ilLO�o\; City <br /> P.OBofOrono Date Received: Permit l <br /> 2750 Kelley Parkway 0 In-House SAC Determination Form Completed <br /> x� Crystal Bay,MN 55323 <br /> �rkEsi+o��c (952)249-4600/Fax(952)249-4616 Approved By(If Required): <br /> CITY OF ORONO-SEWER&WATER/GENERAL PERMIT <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Department•) <br /> (ALL PERMITS- May be subiect to further review and may not be_fasaed when the anolication 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 /> 0 New Connection ❑Additional Connection ❑Re-Connection 0 Repairs 13<connect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Site/Owner Information: <br /> Site Address: i 9 v CD ?`Or-46t <br /> Owner: -ISROV &D Z-2-GMailing Address: I(o ) S4 / 46 <br /> City: (5\tbA- ) Zip: ES3/l <br /> Home Phone: 194 65.1).-- --d(00 Alternate Phone: 4c) -o3/ -614145 6 <br /> Contractor Information: <br /> Contractor: Vo &Lp cdV �/ 7,1e,ez, 16hLt,lL'SC � ua� Contact Person: <br /> Address: Y 'O - Po' 9'2s State License#: <br /> City: fbJ Zip:°-3 e xpiration Date: /b //a/sV/S' <br /> Phone: l2(9 -N q - 8a ? Alternate Phone: <br /> C. 1-1-. fire 14(ici, 677Yea- RP <br /> (g)36 -p- pi4r0 Pir - /004'5 60 1 p E ((/go `_?3 • <br />
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