Laserfiche WebLink
! � <br /> • <br /> %'O"'� FU]R�T�"S�ONLY �(./ <br /> � �1O� City Of OrOno Date Received: Pemrit# � J? <br /> � `� P.O.Box 66 n <br /> l ! 2750 Kelley Parkway ❑In-House SAC Determination Form Completed ��(U� / <br /> � '\, ,�-f' Crystal Bay,MN 55323 �� / <br /> i\\A�S'��¢��� (952)249-4600/Fax(952)249-4616 Approved By(IfRequired): � �� n7 <br /> CITY OF ORONO—SEWER& WATER/GENERAL PERNIIT � � �`�\ <br /> (*Note:Some permits may require approval by the Building Official and/or Public Works Departrnent*) � <br /> (ALL PERMTI'S- Mav be subiect to furth�r review and mav not be issued w6en the anulication is receivedl <br /> GENERAL INFORIvIATION <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. Pernut 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 cazd is available on the job site. <br /> 5. Urility connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department(952-249-460D)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 Pubtic 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 A iy <br /> Q Residential(May Require Approval) ❑ Commercial(Approval Required) <br /> t <br /> �rNew Connection ❑Additional Connection ❑Re-Connection ❑Repairs ❑Disconnect <br /> ❑ Water Availability Connection For Future Hook-Up to Water <br /> Job Si#e/Owner In�ormation: <br /> Site Address: _ __��� �c; �K �4� � <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> // � / /,� <br /> Contractor: w�5���`�S ��� Contact Person: F��4 � (G �"' <br /> Address: 1%�� � C� ,�� �� State License#: <br /> City: �� �� Zip:�1 Expiration Date: <br /> Phone: GI����{7�'��1��, AlternatePhone: ��- 7�1-`T7� <br /> r <br />