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CITY OF ORONO * 2 0 1 3 - 0 0 4 3 7 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 760 TONKAWA RD <br /> PIN 05-117-23-34-0007 <br /> LEGAL DESC PARTENS POINT 1ST DIV <br /> LOT 013 BLOCK 000 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DISCONNECTION <br /> NOTE: SEWER DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> TRT EXCAVATING&SEPTICS STATE SURCHARGE SEWER&WATER 5.00 <br /> 3456 228TH AVE NW <br /> SAINT FRANCIS,MN 55070- TOTAL 55.00 <br /> (612)356-7900 <br /> OWNER <br /> BORDSON,BRENT&NANCY <br /> 760 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 /> requested in conformance wit a State Building Code.This permit may be <br /> revoked a�a for du ise. <br /> Applicfant Perm' a Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />