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CITY OF ORONOIi 1 I 1' <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 4 - 0 1 2 9 <br /> DATE ISSUED: 10/17/22 014 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 180 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0010 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 050 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: SEWER REPAIR <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GARY'S SEWER&DRAIN STATE SURCHARGE SEWER&WATER 5.00 <br /> 4440 ENCHANTED DRIVE TOTAL 55.00 <br /> MOUND,MN 55364 Payment(s) <br /> CHECK 5230 55.00 <br /> OWNER <br /> ROKKE,JOSEPH&MARSHA <br /> 180 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 an ime after work has commenced. <br /> The applicant i iponsible for assurin, al quired inspections are <br /> requested in.on rm ce with the St. t4 ilding Code.This permit may be <br /> revoked a : y i/or ue use. <br /> Date <br /> t/e 7// <br /> Ap al' an Permitee Signature Date Issue y Signature <br />