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CITY OF ORONO * z 0 1 5 - 0 1 0 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/20/2015 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1050 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-13-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE��5-CONNECT[ON <br /> NOTE: SAC PAID#11815 09/02/1999 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 1.00 <br /> OLSONS SEWER SERVICE TOTAL 51.00 <br /> 17638 LYONS ST NE Payment(s) <br /> FOREST LAKE,MN 55025- CREDIT CARD 8126 51.00 <br /> (651)464-2082 <br /> Minnesota State License#: SW-1R654644 <br /> OWNER <br /> EHRAMJIAN, VARKES <br /> 1050 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <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 /> 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 conformance with the State Building Code.This permit may be l <br /> revoked at any time for due cause. �C��� <br /> / �-'�L� � � ��� <br /> _ �ZQ� -��� _ <br /> A icant Permitee Signature Date [ssued By Signature Date <br />