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CITY OF ORONO PERMIT NO.: 2010-00617 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/26/2010 <br /> s 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 825 WILLOW DR S <br /> PIN 10-117-23-22-0001 <br /> LEGAL DESC UNPLATTED 10 117 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> VALUATION $ 0.00 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> PIPELINE IND <br /> 2270 CAPP RD STATE SURCHARGE(VALUATION) 5.00 SAINT PAUL,MN 55108- <br /> TOTAL 55.00 <br /> (651)645-0622 <br /> OWNER <br /> BESSETTE,ANDY&CHERYL <br /> 825 WILLOW DR S <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 /> revok at any time for due cause. <br /> 7— <br /> 19C%' e ee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />