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� CITY OF ORONO * z 0 1 3 — 0 1 1 6 0 * <br /> . 2750 KELLEY PARKWAY pATE 1SSUEn: 10/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3227 CASCO CIR <br /> PIN : 20-117-23-43-9999 <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> VERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 2916 ENTERPRISE AVE <br /> I-3ASTINGS, MN 55033- STATE SURCHARGE SEWER& WATER 5.00 <br /> (65l)480-U55 TOTAL 105.00 <br /> PAID WITH CC# 0444 <br /> OWNER <br /> O'ROURKE,JAMES <br /> 1 181 VAGABOND CT N <br /> PLYMOUTH, MN 55447- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work fi�r which U�is permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> S[ate Building Code. "l his permit is Yor 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 /> revoked at any me fo e ause. <br /> /'� � �3a � /3 , <br /> Ap icant Permitee Sigdature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOV <br />