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� � " CITY OF ORONO PERMIT NO.: 20�2-00�22 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 02/16/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3508 IVY PL <br /> PIN : 20-117-23-42-0024 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 183 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: WATER&SEWER DISCONNECTION PERMIT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> J.S. STEWART COMPANIES INC. WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 16400 OLD ROCKFORD ROAD <br /> PLYMOUTH,MN 55446 STATE SURCHARGE SEWER&WATER 5.00 <br /> (612)509-9011 TOTAL 105.00 <br /> Minnesota State License#: 1470 <br /> OWNER <br /> WILSON, STEPHEN <br /> 3510 NY PL <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 sepazate <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 <br /> revoke�at any time for du cau . <br /> �� . <br /> Z / ( / � Z � � (P���_ <br /> Applicant e itee Sig ature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />