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CITY OF ORONO * z 0 1 3 - 0 0 B B 3 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013 <br /> � ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1250 SPRUCE PL <br /> PIN : 08-117-23-32-0008 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: CHECK VALUE AND REPAIR SEWER LINE AND CLEANOUT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> DONAHUE MECHANICAL INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 6115 SUNNYFIELD RD <br /> PO BOX 35 MISC FEE 0.00 <br /> MOUND,MN 55364 TOTAL 55.00 <br /> (612)799-8017 <br /> Minnesota State License#: PM058331 <br /> OWNER <br /> EASLEY,JAMES&MELISSA <br /> 1250 SPRUCE PL <br /> MOLJND,MN 55364- <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 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 180 d a y time after work has commenced. <br /> The applicant is responsible f assurin all required inspections are <br /> requested in conformance w h the St lding Code.This permit may be <br /> revoked at any time for du cause. <br /> ' _ � �l <br /> � � <br /> pplicant ermitee Si ture Date Issue y S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />