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<br /> ` O�t-06-2011 OA:Z1am FrortrClTY OF ORONO f95224a4616 T-212 P.DO1/00Y F-601
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<br /> CITY OF U�20N4—SE'VVER&WATEA/C�1�'ERA�.p�:RMCT
<br /> (*�Iute:sorrr pem:u m.y r�equire sppiovrl by►he Bwlaing ol�iciat anaror Pubt�a wark.D��mmrnt''?
<br /> �.r t PE.n�CY'S-I�t �he ar ireLtb hinAer review aed wns�rnt ba I�meA �whe�tl�r.�nelkslk►tl i9 rtetirbin
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<br /> l. You maY�PPiy fa�ualiry peru,irs by ma�l or ia per�oa 8c che Ciry o�iees.
<br /> 2. Maiied ia applicarians ara subjecc to the po9mge and bnndling fee showra belo w. Pe�mi�cards will
<br /> be sent by return saai�within a busii►es9 d�ys.
<br /> 3. Perm�ts are not valid un�7 ruu receivc a perrmt eard.
<br /> a. Work must not besin unless�he paaut card is availabla on tbs job sive.
<br /> 5. �Utility coaneclion pe�m�y be isaued to liemscd conuactars osily,
<br /> 6. Cflntaci thc Public WorYs DCporCa�at(952-24��600)f�utility stub as-bu7�locations.
<br /> DO NOT EXCAVA'i'E IIV ANY S�ET A1VU UO 1VOT TAp ANY MA1N w;t6out rxpre�s
<br /> approval ot tbe Pabiie Works Depa�tmeot. Issuaace of a peratiit does no��rant this approvaL
<br /> 7. All waik mnsc bc done in accordance with Sta�e Code requiremmas.
<br /> 8, All wo=k must be iaspected before it is covt[�d, Call(952)249-4600,24+hour notia reqnired.
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<br /> �Rasidenriel(May Req�ue Appmva� ❑Commercial(Approval Reqa�red)
<br /> ❑lYew Cotmecaon ❑Addirion�l Co�ectia� (.�Re-Camecrion �Repairs ❑ Discaanecz
<br /> ❑ Vlla�eer pvailability Can�ectioa Fo�Putore$ook Up ro W�ies
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<br /> Site Address: � �O 0 ParJ�f P_n�Jd��-�t
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<br /> Homc Phonc: �!'r�."'�'I��'��� Alternate Plaone: ,
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<br /> Contra�ctor: Arl_i/�etKCPa� �'Co��a���a[act Person_ ��w�z
<br /> Address: � I'� r � Sf' Stat�Lieense#:
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<br /> City: ��_ Zip:s� Expiratian Date: �'r'1�
<br /> . Phone: (���-'3�' 3��7 Alternate Phane:
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