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. <br /> C�y � �N�s. ���sc . <br /> � <br /> ' �__-�.� ' �'o�t crrY u��orr�,x <br /> /�1,IO� City of Orono Date Tteceived: Petmit# <br /> �� \ P.O.Box 66 ' ' <br /> i 2750 Kelley Pazkway �In-H��)se�AC DeierminaYivn�c�rm Camplstec� <br /> �y ;� Crystal Bay,MN 55323 <br /> ����tcs�ioR�'/l (952)249-4600 .4pprQved By(I€Rec�uit�d): <br /> �._-- <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- Mav be subiect to further review and mav not be issued when the application is receivedl <br /> GEN�RAL TNFORMATION ' <br /> l. 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 QF F�RMIT : <br /> (Check All That A ply) <br /> �Residential(May Require Approval) ❑Commercial(Approval Required) <br /> �v <br /> �New Connection ❑Additional Connection ❑Re-Connection ❑ Repairs ❑ Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Jt�b Site 1 Owne�r I�fvrmatiQn: ' <br /> Site Address: �y� U��'�� �. <br /> Owner: ��1'�� ,��5. Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: ' <br /> Contractor: ��,/yl, ��R]�'If�✓� //YG• Contact Person: <br /> Address: �9/L �i/���t��� f1�' State License #: <br /> City: �7f�����rS Zip:�77 Expiration Date: <br /> Phone: 6Sr� �'�35� Alternate Phone: �or/ 9/9-y3yd <br />