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r CITY OF ORONO _ <br /> ' 2750 KELLEY PARKWAY * ANTE ISSUED: 06/06/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1065 TONKAWA RD <br /> PIN : 08-117-23-13-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO. 217 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE CONNECTION <br /> NOTE: SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> MILLER TRUCKING <br /> PO BOX 157 STATE SURCHARGE SEWER&WATER 5.00 HANOVER,MN 55341- <br /> TOTAL 55.00 <br /> (763)498-8342 <br /> Minnesota State License#: 077544-RP <br /> OWNER <br /> BEBO,JAMES <br /> 1065 TONKAWA RD <br /> LONG LAKE,MN 55356- <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 /> A <br /> Applicant P i e Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />