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CITY OF ORONO * z 0 1 z — 0 0 2 1 7 * <br /> , _ , 2750 KELLEY PARKWAY pqTE�SSUEn: 03/23/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : IS MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0013 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : WATER „ <br /> PROPERTY TYPE : RESIDENTIAL ��'�ri�' � "'j`;'�'^ ' ��' <br /> CONSTRUCTION TYPE : CONNECTION kecefpt 1V�: ,`s.�'►t�fi57? <br /> "4obi .laneswea.kiersl�:<: ., . <br /> �r��iau5 6atat�: <br /> _ Aerp�:�.t�`n - <br /> �12-�k17 aater <br /> C�;r,��ect ibn i'� M��rt lew�;:. <br /> !�'3, 3�;�;,(i <br /> ��~hanicatl5ep':i€l�h� <br /> � `"��f Nits � � � <br /> -��-c�e�rr �� �;�, <br /> ,:�-:c�c3r <br /> ;e fio qovt s-5t;,i, <br /> :�rnits <br /> :,�a Thraa F� Enr �,���,: 1, ��..':',; <br /> �:anneciion i: 14yrtl'ewood <br /> ` ;01-2C�'7 ` � <br /> liayzata '�tr15��^ L'unr�ect i.an F�e` <br /> �,'inial: �.� - 1,177.G, <br /> ��_s��::�_ <br /> , ��,k�r� � � . . . . <br /> :k NCJ! 45�'t , <br /> ��r: <br /> _asNe=:,e + �- • <br /> � a �ar.�. ....�_a i: <br /> APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> AMERICAN MECHANICAL CO, INC. STATE SURCHARGE SEWER& WATER 5.00 <br /> 7120 71ST AVE.N. TOTAL 55.00 <br /> PO BOX 205 <br /> LORETTO, MN 55357- <br /> (612)750-0278 <br /> OWNER <br /> JAMESWEATHER, ROBI <br /> IS MYRTLEWOOD RD <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 separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 I 80 davs at any time after work has commenced. <br /> The applicant is responsitile for as�uring all required inspections are <br /> requested in conforniance with the State Building Code.This permit may be <br /> revoked at a�ry�time for d�use. <br /> � , . - /yll�'CI�� l����? l l <br /> ._ ..�--i::'`...:: <br /> Appli�,ef`mitee Signature Date Issued By S g ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />