Laserfiche WebLink
1� <br /> ♦ CITY OF ORONO I IN III 1111111111111111111111M <br /> * 2017 - 01144 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2017 <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 CONNECTION <br /> NOTE: NEW SEWER CONNECTON <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> COPPIN SEWER&WATER STATE SURCHARGE SEWER&WATER 1.00 <br /> TOTAL 51.00 <br /> 864 QUAIL PKWY <br /> Payment(s) <br /> WATERTOWN,MN 55388- <br /> (612)508-9974 CHECK 5494 51.00 <br /> Minnesota State License#: SW-57329MR <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 /> l' <br /> Applicantyertnitet Sign fure Date 4di,,.atu're Date <br />