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CITY OF ORONO PERMIT NO.: 2010-00922 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/30/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 100 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0032 <br /> LEGAL DESC : ORCHARD VIEW <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CO�erT N 9 C D in(`) <br /> NOTE: THIS SAC CHARGE OF$2100.00 WAS PAID WITH CHECK#4391 BY PETER GOSHGARIAN <br /> SEWER CONNECTION PERMIT 2010-00919 WAS ISSUED TO GROTHE SEWER&WATER-PD CHECK# 13960 <br /> APPLICANT S.A.C. 2,100.00 <br /> HUTHWAITE,MICHEAL&MARILYN TOTAL 2,100.00 <br /> 100 ORONO ORCHARD RD S <br /> WAYZATA,MN 55391- <br /> OWNER <br /> HUTHWAITE,MICHEAL&MARILYN <br /> 100 ORONO ORCHARD RD S <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 /> AVIAApplicant Permitee Signature /Date / �ssue( / / 9�3 v/ /6 <br /> ��'ty Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />