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. �` CITY OF ORONO * z 0 1 3 - PJ 0 6 6 Z * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3884 CHERRY AVE <br /> P[N : 08-117-23-33-0084 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> LCS STATE SURCHARGE SEWER& WATER 5.00 <br /> 7207 W 128TH ST <br /> SAVAGE, MN 55378- TOTAL 55.00 <br /> (612)363-1246 <br /> OWNER <br /> ENGLUND, DOUGLAS <br /> 3884 CHERRY AVE <br /> P.O. BOX 285 <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 docs <br /> not grant permission for addi[ional 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.']�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 atter work has commenced. <br /> Thc applicant is responsible for assuri g all required inspections are <br /> requested in conformance with he.' • e ailding Code.'rhis permit may be <br /> revoked at ai Ume tbr due se <br /> / / / / <br /> Ap licant ermitee Si natur . Date Issued B ,ignature <br /> SEPARATE PF.RMITS REQUIRED FOR WORK OTH THAN DESCRIBED ABO E. <br />