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CITY OF ORONO PERMIT NO.: 2009-00392 <br /> • 2750 KELLEY PARKWAY <br /> v <br /> ORONO, MN 55356- DATE 1ssvEn: 07/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2933 CASCO POINT RD <br /> PIN : 20-117-23-31-0048 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 094 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC GRANDFATHERED IN PERMIT#2282 10/06/1969 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> KEVITT EXC. INC. WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 3335 PENNSYLVANIA AVE NO <br /> CRYSTAL, MN 55427 STATE SURCHARGE SEWER&WATER 0.50 <br /> (763)545-3557 TOTAL 100.50 <br /> OWNER <br /> FARWELL, HEATH&JULIE <br /> 2933 CASCO POINT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed acccrding 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 ty;pe of work <br /> shali be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construct�on 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 /> revok d at any time for due cause. � — � _ `� ,_ �'C'� <br /> �� ���� 7' i 6 i �'y �_ � �'� C L ��i �'�'�`` � i i <br /> ApplicanC Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />