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CITY OF ORONO I MI H UI V 1, 111 Will <br /> 2750 KELLEY PARKWAY * 2 1 S - 0 0 2 1 9 <br /> DATE ISSUED: 02/28/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2665 CASCO POINT RD <br /> PIN : 20-117-23-23-0021 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 136 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: WATER&SEWER RE-CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER&WATER STATE SURCHARGE SEWER&WATER 1.00 <br /> 775 <br /> 775 TOWER DRIVE TOTAL 101.00 <br /> HAMEL,MN 55340- <br /> (612)919-0247 Payment(s) <br /> CHECK 11437 101.00 <br /> OWNER <br /> GUTERMUTH,DAVID&LYNN <br /> 2665 CASCO POINT RD <br /> WAYZATA,MN 55391- <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 separate <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 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 /> 1116 <br /> °A4 r Pfticzo <br /> Applicant Permitee Signature Date Issue 1J y Signature Date <br /> VV✓ <br />