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� CITY OF ORONO PERMIT NO.: 2009-0040� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISS[1ED: 07/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3127 CASCO C1R <br /> PIN : 20-117-23-34-0022 <br /> LEGAL DESC : COLORADO SPRINGS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTiAL <br /> C01�1STRUCTION TYPE : CONNECTION <br /> NOTE: <br /> SEWER AND WATER CONNECTION <br /> APPLICANT <br /> CONCRETE SCIENCE SERVICES SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 7545 COMMERCE ST. WEST WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> CORCORAN,MN 55340- STATE SURCHARGE SEWER&WATER 0.50 <br /> (763)420-4073 TOTAL 100.50 <br /> OWNER <br /> PETERS,FREDERICK <br /> 3127 CASCO CIR <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 sepazate <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 I 0 days of the date of issuance,or if construction is <br /> suspended for a peri�of I 80 days at any time after work has commenced. <br /> The applicant is. s nsible for assuring all required inspections are <br /> requested in con r a e with the State Building Code.This permit may be <br /> revo t any i r u cause. <br /> A � � � b�i '7� � � C� <br /> plicant Per tee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />