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CITY OF ORONO * 2017 - 01363 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3265 SHADYWOOD CIR <br /> PIN : 20-117-23-11-0048 <br /> LEGAL DESC : SHADYWOOD VILLAS <br /> : LOT 7 BLOCK 1 <br /> PERMIT TYPE SEWER&WATER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE CONNECTION <br /> NOTE: SEWER AND WATER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> FINAL GRADE,INC STATE SURCHARGE SEWER&WATER 1.00 <br /> 3441 BLUFF DR. <br /> JORDAN,MN 55352 TOTAL 101.00 <br /> Payment(s) <br /> (952)492-5100 <br /> Minnesota State License#: BUIL-1442 CREDIT CARD 4416 101.00 <br /> OWNER <br /> Charles Cudd LLC <br /> 15050 23RD AVE N <br /> PLYMOUTH,MN 55441- <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />