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CITY OF ORONO * 2 0 1 7 - PJ 0 1 6 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2017 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2710 KELLY AVE <br /> PIIY : 21-117-23-23-0034 <br /> LEGAL DESC : VERN-MAR MANOR <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCT[ON TYPE : REPAIR <br /> NOTE: SEWER REPAIR <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> ROTO ROOTER SERVICES CO. TOTAL 51.00 <br /> 14530 27TH AVE.N. <br /> MINNEAPOLIS, MN 55447- Payment(s) <br /> CREDIT CARD 8714 51.00 <br /> (763)519-3907 <br /> OWNER <br /> RESTORATION, ROBIN <br /> 2080 SHORELINE DR <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT 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 separate <br /> permits. All provisions of laws and ordinances goveming 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 /> revoked at any time for due cause. <br /> � � � ��a�/,Z <br /> Applicant Permitee Signature Date Issued B Signature Date <br />