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CITY OF ORONO * Z 0 1 2 - 0 0 4 7 Z * <br /> ., 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2012 <br /> � - ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3165 CASCO CIR <br /> PIN : 20-117-23-43-0026 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 036 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS, INC. WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 1 1401 COUNTY ROAD 3 <br /> HOPKINS, MN STATE SURCHARGE SEWER&WATER 5.00 <br /> (612)938-4433 TOTAL 105.00 <br /> OWNER <br /> ARMSTRONG, WARD&KATHLEEN <br /> 6898 EDGEBROOK PLACE <br /> EDEN PRA]RIE,MN 55346- <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 permissio�y€er,additional or related work which requires separate <br /> permits. AII pr sions f laws and ordinances governing this type of work <br /> shall be com 'ed with hether or not speciYied herein.This permit will <br /> expire an ccome n 1 and void if construction authorized is not <br /> comme ithin�80 days of the date of issuance,or if construction is <br /> suspe d f r a pe�od of 180 days at any time after work has commenced. <br /> The plic nt i nsible for assuring all required inspections are <br /> re co orm nce wi[h the State Building Code.This permit may be <br /> r ke a an im � <br /> / / / / <br /> p� t rmitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />