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*` ° �� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 6 - 0 1 5 1 1 * <br /> DATE ISSUED: 12/02/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2725 SHADYWOOD RD <br /> PIN : 21-117-23-24-0004 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 026 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: CURE IN PLACE LINER <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> BENJAMIN FRANKLIN PLUMBING <br /> 5718 INTERNATIONAL PKWY TOTAL 51.00 <br /> NEW HOPE, MN 55428- Payment(s) <br /> (612)238-9709 CREDIT CARD 8156 51.00 <br /> Minnesota State License#: plbg-PC643703,mech-MB004722 <br /> OWNER <br /> MEEK, MICHEAL&ROBERT <br /> 2725 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 goveming this type oY 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 I 80 days at any time afrer work has commenced. <br /> rhe applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _ _�_ �( l�, �, /,�o <br /> Applicant rtee Signature Date Issued By gnature Date <br />