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CITY OF ORONO PERMIT NO.: 2009-00209 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/05/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4060 DAHL RD <br /> PIN : 07-117-23-11-0020 <br /> LEGAL DESC : P[RATES COVE <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: <br /> NEW SEWER CONNECTION-4" PIPE-MATERIAL-PVC SCHEDULE 40 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WENZEL- PLYMOUTH PLUMBING LLC STATE SURCHARGE SEWER&WATER 0.50 <br /> 1710 ALEXANDER RD <br /> EAGAN, MN 55121- TOTAL 50.50 <br /> (65l)452-1565 <br /> OWNER <br /> NEVE, MR& MRS. JAMES <br /> 4060 DAHL RD <br /> MOLIND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be per}ormed according to <br /> the approved plans and specifications,applicable City approvals,and [he <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 type of work <br /> shall be compied with whether or not specified herein.This pernlit 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 timc after work has commenced. <br /> "Che applicant is responsible for assuring all required inspections are <br /> reyuested in conforman h the State I3uilding Code.This permit may be <br /> revokedat�_Yim��due use. � <br /> �� ,����� ;;=�,.�_ �� � �c.�l — — <br /> � � � 5 �� 5 <br /> Applicant Permit Signature ' Date ssued By SignaCure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />