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CITY OF ORONO * Z 0 1 6 - 0 1 4 9 PJ * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 12/OU2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2413 CARMAN ST <br /> PIN : 20-117-23-12-0011 <br /> LECAL DESC : NAVARRE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: RUNNING ADDITIONAL SEWER LINE FROM HOUSE TO GARAGE. <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> WESTONKA SEWER& WATER TOTAL 51.00 <br /> 6501 CO. RD 15 Payment(s) <br /> MOUND, MN 55364 CRED]T CARD 1685 51.00 <br /> (952)472-4959 <br /> Minnesota State License#: BUIL-1804 <br /> OWNER <br /> BLUTH, PETER <br /> 2413 CARMAN ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State E3uilding 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 l80 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 /> "rhe applicant is responsible for assuring all required inspections are <br /> requested in conformance with e State Building Code.This permit may be <br /> revoked a�any time for e us . � ��"�� <br /> ? <br /> �. � <br /> .— .� ��`��`� � / --� �--f�c� 1 / � <br /> �� / � , <br /> Applicant Permi e �gnature Date lssued By Signature Date <br />