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� - CITY OF ORONO * 2 0 1 4 - P1 0 5 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/05/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3227 CASCO CIR <br /> PIN : 20-117-23-43-0056 <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NO"TE: WA"CER& SEWER CON�IEC"I�ION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS, INC. STATE SURCHARGE SEWER& WATER 5.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS,MN TOTAL 105.00 <br /> (6l2)938-4433 Payment(s) <br /> CREDIT CARD 6881 105.00 <br /> OWNER <br /> O'ROURKE, JAMES <br /> 1181 VAGABOND CT N <br /> PLYMOUTH, MN 55447- <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 aRer 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 at any time for due cause. <br /> � c� S I �� � <br /> �'� � W �� , ,� <br /> App icant Permitee Signature Date Issu By Signature Date <br />