Laserfiche WebLink
, . CITY OF ORONO * 2 0 1 5 - PJ 0 1 3 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 3926 CHERRY AVE <br /> PIN : 08-1 1'7-23-33-0019 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : DISCONNECTION <br /> NOTE: SEWER DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> SCHERBER CO. LLC STATE SURCHARGE SEWER& WATER 5.00 <br /> 11415 VALLEY DR. TOTAL 55.00 <br /> ROGERS, MN 55374 Payment(s) <br /> (763)497-1100 CHECK 16293 55.00 <br /> Minnesota State License#: mech-PB644183 <br /> OWNER <br /> WASHUTA,KENNETH <br /> 3926 CHERRY AVE <br /> MOiJND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> � � ��� �� � / (/" // � <br /> pp cant Permitee Signature Date Issued Signature Date <br /> I <br />