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' � CITY OF ORONO <br /> * 2 0 1 3 - 0 0 4 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3625 EILEEN ST <br /> PIN : OS-117-23-21-0024 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW SEWER CONNGCTION <br /> APPLICANT SEWER CONNECT/D[SCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 6501 CO. RD 15 <br /> MOLTND, MN 55364 TOTAL 55.00 <br /> (952)472-4959 PAID WITH CC# 7464 <br /> Minnesota State License#: 1804 <br /> OWNER <br /> RYAN, BOB <br /> 3625 EILEEN ST <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his pemiit 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 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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformanc t e State Building Code.This permit may be <br /> revoked at an f ue e. <br /> / � l � l � 3 �l /� l � <br /> Applican ermitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />