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� - � CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 4 — 0 ID 9 5 5 * <br /> DATE ISSUED: 08/26/2014 <br /> ORONO, MN 55356- <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 HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> COPPIN WATER&SEWER STATE SURCHARGE SEWER&WATER 5.00 <br /> 864 QUAIL PKWY TOTAL 55.00 <br /> WATERTOWN,MN 55388- Payment(s) <br /> CHECK 4069 55.00 <br /> OWNER <br /> CLEVELAND,BRADLEY&PAT <br /> 4520 JUNEAU LANE N <br /> PLYMOUTH,MN 55446- <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 sepazate <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 /> � ,` Gt�v�'`�- ��!^�l� /_t�t.c�K-� 8 �oZ lo� �� <br /> App�cant Permitee Signature Date Is d By Signature Date <br />