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'� CITY OF ORONO PERMIT NO.: 2011-01417 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1 U09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1374 NORTH ARM DR <br /> PIN : 07-117-23-41-0053 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: SEWER RF.�IAIR-4"PIPE <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER&WATER 5.00 <br /> 14530 27TH AVE.N. TOTAL 55.00 <br /> MINNEAPOLIS,MN 55447- <br /> (763)519-3907 <br /> Minnesota State License#: 058341 <br /> OWNER <br /> SUTHERLAND,WILLIAM <br /> 1374 NORTH ARM DR <br /> MOLJND,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 sepazate <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 nuli and void if consVuction authorized is not <br /> commenced within 180 days of the date of issuance,or if conswction 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 i c formance with the State Building Code.This permit may be <br /> revoked ue cause. <br /> �.� %� �� � [� <br /> /l� � � / <br /> A li t Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />