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II 11 iii iii ! III II I II II II <br /> CITY OF ORONO <br /> * 20 1 3 - 0 1 1 0 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/21/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 870 WINDJAMMER LA <br /> PIN : 07-117-23-11-0012 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION-4"PIPE-SCHD 40 <br /> APPLICANT <br /> SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 6501 CO. RD 15 <br /> MOUND, MN 55364 MAIL IN FEE 2.00 <br /> (952)472-4959 TOTAL 57.00 <br /> Minnesota State License#: 1804 PAID WITH CC# 7464 <br /> OWNER <br /> Infinity Custom Builders LLC <br /> 3010 BROOKS LANE <br /> WAYZATA,MN 55391- <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 any time for du cause. <br /> WAX-6 /© l 21 1 Z3 iia/ 1 / 2) <br /> Applicant Permitee Si ature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />