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CITY OF ORONO PERMIT NO.: 2009-00079 <br /> '' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DA7'E 1sSUEu: 02/24/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3405 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0022 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPA[R <br /> NOTE: REPAIR ONLY! <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER& WATER 0.50 <br /> 14530 27TH AVE.N. TOTAL 50.50 <br /> MINNEAPOLIS, MN 55447- <br /> (763)519-3907 <br /> Minnesota State License#: 058341 <br /> OWNER <br /> SWEET, CATHERINE <br /> 3405 CRYSTAL BAY RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I'his 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 ordinanccs 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 it�construction authorized is not <br /> commenced within l80 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 contorm c,�with the State Building Code.This permit may be <br /> revoked at any tin `ue cause. � C-> � �/. L�� <br /> �� ��� �i �-�"( i Q`� � �, ��,�_ �� ��� 11 <<� � <br /> Applicant er �tee Signature Date � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />