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1111111111111111111111111111 IN lilt M <br /> CITY OF ORONO * 2 0 1 7 - 0 0 6 8 1 <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 06121/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 1020 TONKAWA RD <br /> PIN 08-117-23-13-0014 <br /> LEGAL DESC REG. LAND SURVEY NO.0617 <br /> LOT 000 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 /> STATE SURCHARGE SEWER&WATER 1.00 <br /> BOLLIG&SONS,INC. TOTAL 51.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS,MN 55343- Payment(s) <br /> (952)938-4133 CREDIT CARD 9081 51.00 <br /> OWNER <br /> BURKE,FORREST <br /> 380 LEAF ST <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 /> gal i <br /> Applicant Permitee Signature Date Issued E0 Signature Date <br />