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CITY OF ORONO PERMIT NO.: 2010-00278 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 04/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1200 TONKAWA RD <br /> PIN : 08-117-23-13-0005 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 009 BLOCK 000 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> NOTE: SEWER REPAIR <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER&WATER 0.50 <br /> 14530 27TH AVE.N. <br /> MINNEAPOLIS,MN 55447- TOTAL 50.50 <br /> (763)519-3907 PAID WITH CC# 0472 <br /> Minnesota State License#:058341 <br /> OWNER <br /> BUTCHER,LYNN KOENIG&LEONDIAS <br /> 1200 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' conformance with the State Building Code.This permit may be <br /> revoked y for due cause. <br /> Ap li t Permitee Signature Date Is B ign lure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />