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� ,� '" CITY OF ORONO PERMIT NO.: 201�-000s4 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISSUED: 0?J07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4415 NORTH SHORE DR <br /> PIN : 07-117-23-43-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> " PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> � CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: SEWER DISCONNECT-PIPE SIZE-4" <br /> APPLICANT <br /> SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 6501 CO.RD 15 TOTAL 55.00 <br /> MOUND,MN 55364 <br /> (952)472-4959 <br /> Minnesota State License#: 1804 <br /> OWNER <br /> TWOMEY,DAREA&CHRIS <br /> 150 2ND STREET NE <br /> MINNEAPOLIS,MN 5541� <br /> AGREEMENT AND SWORN STATEMENT <br /> T'he 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This petmit 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 ys at any time after work has commenced. <br /> The applicant is respo o assuring all required inspections aze <br /> requesY�d in confo anc i the State Building Code.This permit may be <br /> re t y ' r cause. <br /> � � � ` � � / <br /> A plicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />