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f . <br /> CITY OF ORONO * 2 0 1 4 — 0 0 7 3 3 * <br /> 2750 KELLEY PARKWAY pATE �SSUEn: 07/1U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2975 CASCO POINT RD <br /> PIIY : 20-117-23-31-0045 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 089 BLOCK 000 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTI�: N1;W Wn"I1;R&SEWER CONNI�',C'I'ION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS, INC. STATE SURCHARGE SEWER& WATER 5.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS, MN TOTAL 105.00 <br /> (612)938-4433 Payment(s) <br /> CREDIT CARD 6881 105.00 <br /> OWNER <br /> GOODWIN, KURT& BARBARA <br /> 7310 KURVERS POINT ROAD <br /> CHANHASSEN, MN 55317- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> thc 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 of work <br /> shall be compied with whether or not speciYied herein.'I'his perrnit will <br /> expire and bccome null and void if construction authorized is not <br /> commenced within 180 days of the date oCissuance,or if construction is <br /> suspendcd for a period of 180 days at any timc afrer work has conuneneed. <br /> I'he 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 eause. <br /> � <br /> �� � � � � i�l � <br /> npplicant Permitee Signature Date Issued y Signature Date <br />