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! <br /> z <br /> J . <br /> • i . � <br /> . . •.� ' <br /> �:n.. �r . <br /> p�'O�,p r.Cio,s��r°°° ��eJ��v�ea���.,����Gio- (o� . <br /> z�5o�Cd�ey Parlcwsv � ��sac be�a�aa Fam comp�eoea . <br /> � `�� Cn�9d1 Bsv,A�155327 � • . , . <br /> (952)249�46Uo 'A BY(�tRequirodl: .,_,• <br /> CITY OF ORONO—SEWER 8t�RTATER GENERAI.�Y �'RNIIT . <br /> (•Nah:Some Pa�ti1s maY raN��+'�bY d�e Buildil�O�iciel a Fablic Waim Depanmeot•), . <br /> G�x�:nr�axr���arr . . . ., . . .: <br /> 1. You meY aPPh+for utility pcamits by mail or ia persQn�t , City off ces, � <br /> 2.. Mslled in applit�allons ace subjcct to i�he postage snd ng fee shown below. Permit cards will <br /> , be se,�t by retum mail within 2 bustness days. <br /> 3. Permita are not v�lid untlt yon ruxivc s perm[t card. <br /> 4. Work must nat be�in�mleas tl�e pamit oard is availnble the job.sibe. <br /> s. Utility co�ctia�pamit9 may be issued to licea�sed oms oniy. � � <br /> 6. Co�rtact tha Pubiic Works L)eparmnent(952-249�4600)for Hlity stub as-built loc�tions. <br /> DO�10T EXCA'VATL�N ANY 5TREET AN'D DO N TAP ANY MA1N withoht e�cpresa <br /> approv�l ot the Poblic'Works Depautment. Issuano�o permit.does not grant this appe�aval. . <br /> 7. Atl work mnst be do�in accordance with Stete Code . . <br /> 8. A[1 work must be'inspected bofote it is cove[ed. Ca1l(95� 249-4b00,24+6our�notice reqoired. <br /> . � � �'YPE OF�fi1t1�IIT�: � . � � , . <br /> , � � � �heck:t�ll��That . ' �;L�. . � � �, ... . <br /> � �Residential(May Require Apptoval) ❑Commerc (Appro�al Required) . <br /> ❑New Cdnnection ❑Additional Connection �RaCo 'on Q Repaus � Q Diseonnecc <br /> ' ❑ W'ater Availability Conn�ctiaa FatF � t�c I-1�o1G Up to Water • <br /> Job S}te/Owner.Information: . . � � . <br /> , � <br /> � <br /> Site�Address: �f e�,S h 7� . . . <br /> Oomer: ��Ei��'� Mailing A,dress:9.33� �L%� /��r 1�, G1� /�! . <br /> city: �'/,��� �d 0 �/�. zip: /y�JIQ �so �.- �3'3'3�/. <br /> Home Phone: Alternate hone: � 6��"" �i�g'-�60� <br /> Coniiractor Information:. � � <br /> � � , . . . <br /> Contra�ctor. ��.,/� ��K. �` , COntact n: r� � . . <br /> c��. <br /> Address: /�l��d'l D/�1,�YE��yr�r'�£Sta�e Lice se#: B 77 9'�'2 "/Q� <br /> . � city: �' �i.��� zip:�S379�xpirati Date: .. � . . <br /> . �Ylr. . � . <br /> Phone:.9'�d2- y y�= � �3� Aiternate ane: �12�� �3�—/y fr`1� <br /> � . <br /> . � . . <br /> � � <br /> ; 3 .� <br /> � . <br /> .� <br />