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CITY OF ORONO * Z 0 1 6 - 0 1 3 7 8 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/3U2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2649 CASCO POINT RD <br /> PIN : 20-117-23-24-0029 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 138 BLOCK 000 <br /> PERMIT TYI'E : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: DISCONNECT ONLY <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> CHUCK'S EXCAVATING STATE SURCHARGE SEWER&WATER 1.00 <br /> 760 WEST 96TH STREET <br /> CHANHASSEN,MN 55317- TOTAL 101.00 <br /> (952)496-2874 Payment(s) <br /> Minnesota State License#: SW-L3�20 CREDIT CARD 8989 101.00 <br /> OWNER <br /> K1NDL, DUSTIN&CASIE <br /> 2649 CASCO PT 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[3uilding Code. This pennit 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 goveming this type of work <br /> shall be compicd 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 die 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 Slate Building Code.This permit may be � <br /> revoked at any time for due cause � <br /> 1 �_ � ��.� ���1� �,, � , � . : � �c� `�� � /� <br /> Applicant Permitee Signature Date Issucd By S gnature Date <br />