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CITY OF ORONO <br /> . �' 2750 KELLEY PARKWAY * 2 0 1 4 - 0 P1 8 7 2 * <br /> DATE ISSUED: 08/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3287 CASCO CIR <br /> PIN : 20-117-23-43-0044 <br /> LEGAL DESC : WINSHIPS SUBD SPRING PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: WA"I�ER AND SGWGR D[SCONNECT <br /> APPLICANT SEWER CONNECT/DISCONNECT/RF.,PAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER& WATER STATE SURCHARGE SEWER& WATER 5.00 <br /> 6501 CO. RD 15 TOTAL 105.00 <br /> MOUND, MN 55364 <br /> (952)472-4959 Payment(s) <br /> Minnesota State License#: BUIL-1804 CRED[T CARD 5597 105.00 <br /> OWNER <br /> WRIGHT,JON&KATHLEEN <br /> 3287 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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[specified herein."I'his 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Stat uilding Code.This permit may be <br /> revoked at any time for duc ca e. <br /> �' ��� � ,/� ,/�. <br /> Applicant Permitee Signature D te Issu d By Signature Date <br />