Laserfiche WebLink
JUMUHHEMEM <br /> CITY OF ORONO * 2 0 1 5 - 0 0 2 11I5 <br /> d 2750 KELLEY PARKWAY DATE ISSUED: 02/20/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 473 TONKAWA RD <br /> PIN : 06-117-23-41-0092 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> LOT 000 BLOCK 001 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> NOTE: SEWER REAPIR ONLY,BREAK ON 4"MAIN <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> GARY'S SEWER&DRAIN TOTAL 55.00 <br /> 4440 ENCHANTED DRIVE <br /> MOUND,MN 55364- Payment(s) <br /> CHECK 5282 55.00 <br /> OWNER <br /> FRITZ,DAVID&PHYLIS <br /> 473 TONKAWA RD <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 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required i ections aye' <br /> requested in conformance with the State Building .This f`imit may be <br /> revoked at any tune for due cause. <br /> ONKyq UL r ) <br /> Applicant Permitee Signature Date Issued By Signature Date <br />