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CITYOFORONO * z0 12 - PJ0276 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NO"I'E: RECLAIM UEMO SAC CRGDIT <br /> APPLICANT $.A.C. 0.00 <br /> DAVE'S EXCAVAT[NG INC. SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 161 10 HALSEY AVENUE <br /> CARVER, MN 55315- WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> (952)448-3642 STATE SURCHARGE SEWER& WATER 5.00 <br /> Minnesota State License#: 075981 RP TOTAL 105.00 <br /> OWNER <br /> KIMMES,TODD <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIY STATEMEIYT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <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 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 Yor 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 State Building Code.This permit may be <br /> revoked at "ny7timc for d cause. <br /> � �j��-� � ���� <br /> '1 � �o� � �07 / / <br /> � pplicant Permitee Signatur Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />