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� �. <br /> CITY OF ORONO * 2 0 1 4 - 0 0 0 B i * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/27/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1376 NORTH ARM DR <br /> PIN : 07-117-23-41-0052 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> MINNESOTA DIRTWORKS MAIL-IN FEE 2.00 <br /> 2500 W CTY ROAD 42 <br /> SUITE#105 TOTAL 57.00 <br /> BURNSVILLE, MN 55337- Payment(s) <br /> CREDIT CARD 5144 57.00 <br /> OWNER <br /> BOWEN, WILLIAM <br /> 1376 NORTH ARM DR <br /> MOiJND,MN 55364- <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 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 /> � Z7 / � °��T <br /> App ' ant Permitee Sig ure ate Is d By Signature Date <br />