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! � CITY OF ORONO PERMIT NO.: 200&00435 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/04/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 CASCO POINT RD <br /> PIN : 20-117-23-24-0002 <br /> LEGAL DESC : UNPLATTED 20 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: <br /> WATER&SEWGR DISCONNEC"� <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00 <br /> ADVANCE WALL SYSTEMS, INC. WATER CONNECT/DISCONNECT/REPAIR 35.00 <br /> 16927 231ST AVENUE NW <br /> BIG LAKE, MN 55309 STATE SURCHARGE SEWER& WATER 0.50 <br /> (763)263-8512 TOTAL 70.50 <br /> Minnesota State License#: 2008-6484 PAID WITH CASH 70.50 <br /> OWNER <br /> BLOMBERG, ANGELA <br /> 2660 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work tor 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 /> request �n conformance with the State Building Code.This permit may be <br /> re e t an � e for ca � <br /> ' � - - � l ��l �i�,� �� / l � l U� <br /> Applicant Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />