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CITY OF ORONO * Z 0 1 6 - 0 1 3 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3060 FOX ST <br /> PIN : 04-117-23-32-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 032 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SAC ONLY <br /> NOTE: SAC PAID BY PREVIOUS OWNER,THEY HAD AGREED TO PAY AS PART OF THE SALE OF THE HOME. <br /> APPLICANT S.A.C. 2,485.00 <br /> TOTAL 2,485.00 <br /> CAYLOR, SHERI Payment(s) <br /> CREDIT CARD 3817 2,485.00 <br /> City of Orono �7r' "F� °k°"° <br /> OWNER �r5� i�u�.�v r�Kwr <br /> 2750 Kel ley Parkway u�or�o. nrl �;��3s6 <br /> Orono MN 55356 952-249-4600 y'���y �6�'� <br /> PARKINSON,TIMOTHY&KRISTI r>�vey�_:r�r <br /> 3060 FOX ST Receipt No: 3.016864 Nov 3, 2016 <br /> LONG LAKE,MN 55356- k,"' '„ '°�''3s3 <br /> c�.5�:,,�,r, i�, <br /> Acc ��: ���ax����rxa3b17 Exn: bti16 <br /> Sheri Caylor <br /> ----- -- -- --------- J _— <br /> AGREEMENT AND SWORN ST. N��:nE�t R�����t:. a��q�=.�u <br /> Previous Balance: .00 <br /> ---- --- - -- --------- <br /> The work for which this permit is issued shall be per; P2Ym1 tS <br /> the approved plans and specifications,applicable Cir 2016-01347 3060 Fox St 2,485.00 <br /> State Building Code. This permit is for only the wod p (� I l0ie: U7:S]:ab i„cf: 11,�„lui� <br /> l0�—�000.7 lclltlflll�llGll li: VJUti.,GLU <br /> not grant permission for additional or related work wl SAC Charges due to MWCC <br /> permits. All provisions of laws and ordinances gove� <br /> shall be compied with whether or not specified hereir � <br /> expire and become null and void ifconstruction authc TOtel: 2,485.00 " ir�< Na>me�t M��������t a�f5 ���u�,�i„�r <br /> commenced within 180 days ofthe date of issuance,� _______________ L�,F �o"�f"1P1,�� �re detailed below <br /> suspended for a period of 180 days at any time after� Credi t Card 2,485.00 1 ,�yr�e to Na: totel amoun[ <br /> The applicant is responsible for assuring all required a«o�d��� to �drd lssue� ay�eeme��c <br /> requested in conformance with the State Building Co PayOY: <br /> revoked at any time for due cause. ShBI'1 Caylor i.__-__.__.__.__ <br /> Total Applied: 2,485.00 <br /> �;,-�,,,�,, , <br /> Change Tendered: .00 "�y„�. '�'�,�,• <br /> Applicant Permitee Signature _______________ Date <br /> 11/03/2016 10:16AM <br />