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� I <br /> r CITY OF ORONO PERMIT NO.: 2011-01424 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 724 TONKAWA RD <br /> PIN 05-117-23-34-0003 <br /> LEGAL DESC PARTENS POINT 1 ST DIV <br /> LOT 010 BLOCK 000 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: SEWER DISCONNECT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> HIGHVIEW PLUMBING INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 4301 HIGHVIEW PL TOTAL 55.00 <br /> MINNETONKA,MN 55345 <br /> (612)916-0445 PAID WITH CC# 1704 <br /> OWNER <br /> ZAWOYSKI, STEPHEN&SARA <br /> 724 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 inspections are <br /> r ted in conformance with the State Building Code.This permit may be <br /> rev d at an 'me for due cause. <br /> ll l <br /> Applicant Permitee Signature Date Issuo By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />