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� � <br /> " , CITY OF ORONO PERMIT NO.: 2008-00050 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/16/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS � : 460 EAST LONG LAKE RD <br /> PIN : 35-118-23-14-0003 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PAID P03292- 10/25/00-&RECLAIM FROM DEMO CREDIT 10/2007 <br /> APPLICANT SEWER CONNECT/D[SCONNECT/REPAIR 35.00 <br /> DAVE'S CONSTRUCTION SERVICES, INC. STATE SURCHARGE SEWER& WATER 0.50 <br /> 15700 JiJNIPER RIDGE DRIVE <br /> RAMSEY, MN 55303 S.A.C. 0.00 <br /> TOTAL 35.50 <br /> OWNER <br /> R[CHMOND,JAKE <br /> 233 WALKER AVENUE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Buiiding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming[his 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 /> revoked a any[i for due cause. .. <br /> � 6 �t..�� �>>z��r.��- <br /> c�'� �=✓.,�y.� l / l cJ� `�- �/�— ' -;'� /L„ � (s� <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />