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CITY OF ORONO * 2 0 1 7 — 0 1 3 2 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 780 TONKAWA RD <br /> PIN : 05-117-23-34-0010 <br /> LEGAL DESC : PARTENS POINT 1 ST DIV <br /> : LOT 015 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: RE-CONNECT SEWER <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> D.S.M.EXCAVATING TOTAL 51.00 <br /> 2916 ENTERPRISE AVE Payment(s) <br /> HASTINGS,MN 55033- CREDIT CARD 5166 51.00 <br /> (651)480-1355 <br /> OWNER <br /> MENZEL,KEITH <br /> 780 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 with the State Building Code.This permit may be <br /> revoked at any time for due cause <br /> Al-.Z <br /> Xppliftif Permitee Signature Date Issued By Signature Date <br />