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� CITY OF ORONO * 2 0 1 2 - 0 0 6 8 9 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 07/19/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3165 CASCO CIR <br /> PIN : 20-117-23-43-0026 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 036 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: WATER&SEWER CONNECT[ON <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG & SONS, INC. WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> l 1401 COUNTY ROAD 3 <br /> HOPKINS, MN STATE SURCHARGE SEWER& WATER 5.00 <br /> (612)938-4433 TOTAL 105.00 <br /> OWNER <br /> ARMSTRONG, WARD& KATHLEEN <br /> 6898 EDGEBROOK PLACE <br /> EDEN PRAIR[E, MN 55346- <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 E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or relatcd 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 specitied 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 f r as ring all required inspections are <br /> requested in conformance e State Building Code.This permit may be <br /> revoked at any ti e fo u� f� <br /> �/ : <br /> � �l /�i l /� i � i��._ <br /> Appli ermitee Signature Date I d By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />