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CITY OF ORONO PERMIT NO.: 2010-00532 <br /> 2750 KELLEY PARKWAY <br /> r ' ORONO, MN 55356- �ATE ISSUEu: 06/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 25 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0014 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PAID PERMIT#2010-00529-06/28/2010 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> COPPIN WATER& SEWER <br /> 864 QUAIL PKWY WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERTOWN, MN 55388- STATE SURCHARGE SEWER&WATER 0.50 <br /> TOTAL 100.50 <br /> OWNER <br /> RYAN, STEVEN&ANNE <br /> 25 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMEI�T 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 with whether or not specified herein.This permit will <br /> expire and become null and void if cons[ruction 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. /� �`Z Q//T <br /> � � V <br /> � �{,qcy,�� � ��'�i � �C� G�� L� �/�n�� l l <br /> Applicant PArmitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />