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: ' ` CITY OF ORONO PERMIT NO.: 2oos-oo212 <br /> : 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/10/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4315 NORTH SHORE DR <br /> PIN : 07-117-23-43-0028 <br /> LEGAL DESC : SAGA H1LL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMTT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00 <br /> AREA WIDE PLUMBING STATE SURCHARGE SEWER&WATER 0.50 <br /> 9989 190TH ST. TOTAL 35.50 <br /> SILVER LAKE,MN 55381 <br /> (952)292-5297 <br /> Minnesota State License#:61937-PM <br /> OWNER <br /> NESBITT,SHARON <br /> 4315 NORTH SHORE 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. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requ'ues 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 /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S uilding Code.'fhis permit may be <br /> revoked at any ' e for d cause. <br /> � / /O / ��' - j/ /v/ !� <br /> Applicant ermitee Signature Date Is e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. <br />