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_ ' � � CITYOFORONO * 2017 - 00276 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3472 LYRIC AVE <br /> PIN : 17-117-23-43-0074 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 018 BLOCK 005 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: WATER AND SEWER DISCONNECTION <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> Joshua Markum Bldrs,Inc. STATE SURCHARGE SEWER&WATER 1.00 <br /> 7867 EASTWOOD RD <br /> MOiJNDS VIEW,MN 55112- TOTAL 101.00 <br /> Payment(s) <br /> CREDIT CARD 6071 101.00 <br /> OWNER <br /> Joshua Markum Bldrs,Inc. <br /> 7867 EASTWOOD RD <br /> MOUNDS VIEW,MN 55112- <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 dces <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 /> 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 /> �� �� 3 ,� g �i7 <br /> Applicant Permitee Signature Date Issued y ignature Date <br />