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CITY OF ORONO PERMIT NO.: 2009-00196 <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUEn: OS/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3127 CASCO CIR <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 /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: DEMOLITION OF HOUSE <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> CONCRETE SCIENCE SERVICES WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 7545 COMMERCE ST. WEST <br /> HAMEL,MN 55340- STATE SURCHARGE SEWER& WATER 0.50 <br /> (763)420-4073 TOTAL 100.50 <br /> OWIVER <br /> PETERS, FREDERICK <br /> 3127 CASCO CIR <br /> WAYZATA, N1N 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 goveming 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 d of issuance,or if cons[ruction is <br /> suspended for a period of l80 d s at y time after work has commenced. <br /> The applican is responsible for su g all cequired inspections are <br /> reque d in onforman e wit S Building Code.This permit may be <br /> rev ed y time fo due c e <br /> � � � / / <br /> App ' ermitee Signature Date Issued By g ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />