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� <br /> , CITY OF ORONO PERMIT NO.: 2oii-o�3�2 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3095 CASCO POINT RD <br /> PIN : 20-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 131] <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> FINAL GRADE, INC WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 3441 BLUFF DR. <br /> JORDAN, MN 55352 STATE SURCHARGE SEWER& WATER 5.00 <br /> (952)492-5100 S.A.C. 0.00 <br /> Minnesota State License#: 1442 MAIL-IN FEE 2.00 <br /> TOTAL 107.00 <br /> OWNER <br /> WHIPPLE, PHILLIP <br /> 3095 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he approved plans and specitications,applicable City approvals,and the <br /> S[ate Building Codc. 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 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 permi[may be <br /> revoked a[any time for due cause <br /> �_�� �- / / / / <br /> Applicant Permitee Signature Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />