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CITY OF ORONO * 2 0 1 4 - 0 1 3 5 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1070 TONKAWA RD <br /> PIN 08-117-23-13-0020 <br /> LEGAL DESC RYANWOOD <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE SEWER& WATER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE CONNECTION <br /> NOTE: REPORTED ASA DEMO CREDIT ON 09/2014#2014-00977. WHEN NEW HOME OR CONNECTION PERMIT IS ISSUED RECLAIM <br /> FROM DEMO CREDIT AND TELL RACHEL. <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> FINAL GRADE, INC MAIL-IN FEE 2.00 <br /> 3441 BLUFF DR. <br /> JORDAN, MN 55352 TOTAL 57.00 <br /> (952)492-5100 Payment(s) <br /> CREDIT CARD 2929 57.00 <br /> Minnesota State License#: BUIL-1442 <br /> OWNER <br /> WALLANDER, RAY& LAURA <br /> 1070 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 /> Applicant P rmitee Signature Date Issued By Sig ature Date <br />