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• � CITY OF ORONO PERMIT NO.: 2oiaooa26 <br /> � <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3045 SIXTH AVE N <br /> PIN : 28-118-23-32-0008 <br /> LEGAL DESC : LJNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: HOMEOWNER PAID SAC CK. 11499 6/7/10 <br /> KOTHRADE S&W PAID PERMIT FEE CK 15762 6/7/10 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> KOTHRADE SEWER&WATER STATE SURCHARGE SEWER&WATER 0.50 <br /> 12059 WHITETAIL AVENUE <br /> HANOVER,MN 55341 S.A.C. 2,100.00 <br /> O TOTAL 2,150.50 <br /> Minnesota State License#:0192 <br /> OWNER <br /> RYDER,JOHN&BARBARA <br /> 3045 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 da at any time after work has commenced. <br /> The applicant is responsible fo uring all required inspections are <br /> requested in co forman i State Building Code.This permit may be <br /> revoked at an me fo e se. <br /> / /�U/U / / <br /> Applicant P rmitee Sign ure Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO E. <br />