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R ; <br /> CITY OF ORONO PERMIT IYO.: 2oiaooa2� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3185 SIXTH AVE N <br /> PIN : 28-118-23-32-0006 <br /> LEGAL DESC : LJNPLATTED 28 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: HOMEOWNER PAID SAC CK- 17359 6/8/2010 <br /> KOTHRADE S&W PAID PERMIT FEE CK 15763 6/8/2010 <br /> APPLICANT <br /> SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> KOTHRADE SEWER& WATER STATE SURCHARGE SEWER&WATER 0.50 <br /> 12059 WH[TETAIL 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 /> BRANTINGHAM, HENRY&NANCY <br /> 3185 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 gran[permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 days at any time after work has commenced. <br /> The app{�icar�Lis resporySible for assuring all required inspections are <br /> reque�, m conformance w� the State Building Code.This permit may be <br /> revo{eeTf�a�any ti - ause. ���� <br /> �'? � <br /> �, � ` , '�l/1_—� � , � �?O%� � �� � <br /> rr. <br /> �pp i t'P i gh t e I Date Iss By Signature Date <br /> SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />