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CITY OF ORONO * z � 1 4 — 0 1 3 9 5 * <br /> � 2750 KELLEY PARKWAY �ATE �ssuE�: 12/04/2014 <br /> � • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1d10 CHERRY PI_. <br /> P1N : 08-117-23-33-0081 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NO"I'E: SAC PAID#d01 1-09/19/1974 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> D.S.M. EXCAVATING TOTAL 55.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS, MN 55033- Payment(s) <br /> (651)480-1355 CREDIT CARD 044=� 55.00 <br /> OWNER <br /> TORGERSON, KEVIN & T'ERESA <br /> 1410 CHERRY PL <br /> MOUND, MN 55;64- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for�chich this permit is issued shall be performed aceording to <br /> the approved plans and specifications,applieable City approvals,and the <br /> State Building Codc This permit is for only the work described and does <br /> not grant permission ti�r additional or related work�ahich requires separate <br /> permits. All provisions of la�cs and ordinances eoverning this type of�work <br /> shall be compied with�rhether or not specified herein.l�his permil will <br /> expire and become null�nd void if construction authorized is not <br /> commenced within 180 days of the date of issuance.or if construction is <br /> suspended ti�r a period of 180 days at anv time after�����rk has commenced. <br /> The applicant is responsihle t��r assuring all required inspections arc <br /> requested in confi�rmance�cith the State Buildin�Code This permit ma��hc <br /> revoked at am�time for due c ise. <br /> ` /2-y-i � l� <br /> � � <br /> ilppl' ant Permitee Signatur Date Issue�l � i�naturc I�ate <br />