HomeMy WebLinkAbout2016-01397 - SAC only CITY OF ORONO * Z 0 1 6 - 0 1 3 9 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3060 FOX ST
PIN : 04-117-23-32-0002
LEGAL DESC : AUDITOR'S SUBD.NO.230
: LOT 032 BLOCK 000
PERMIT TYPE : SEWER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SAC ONLY
NOTE: SAC PAID BY PREVIOUS OWNER,THEY HAD AGREED TO PAY AS PART OF THE SALE OF THE HOME.
APPLICANT S.A.C. 2,485.00
TOTAL 2,485.00
CAYLOR, SHERI Payment(s)
CREDIT CARD 3817 2,485.00
City of Orono �7r' "F� °k°"°
OWNER �r5� i�u�.�v r�Kwr
2750 Kel ley Parkway u�or�o. nrl �;��3s6
Orono MN 55356 952-249-4600 y'���y �6�'�
PARKINSON,TIMOTHY&KRISTI r>�vey�_:r�r
3060 FOX ST Receipt No: 3.016864 Nov 3, 2016
LONG LAKE,MN 55356- k,"' '„ '°�''3s3
c�.5�:,,�,r, i�,
Acc ��: ���ax����rxa3b17 Exn: bti16
Sheri Caylor
----- -- -- --------- J _—
AGREEMENT AND SWORN ST. N��:nE�t R�����t:. a��q�=.�u
Previous Balance: .00
---- --- - -- ---------
The work for which this permit is issued shall be per; P2Ym1 tS
the approved plans and specifications,applicable Cir 2016-01347 3060 Fox St 2,485.00
State Building Code. This permit is for only the wod p (� I l0ie: U7:S]:ab i„cf: 11,�„lui�
l0�—�000.7 lclltlflll�llGll li: VJUti.,GLU
not grant permission for additional or related work wl SAC Charges due to MWCC
permits. All provisions of laws and ordinances gove�
shall be compied with whether or not specified hereir �
expire and become null and void ifconstruction authc TOtel: 2,485.00 " ir�< Na>me�t M��������t a�f5 ���u�,�i„�r
commenced within 180 days ofthe date of issuance,� _______________ L�,F �o"�f"1P1,�� �re detailed below
suspended for a period of 180 days at any time after� Credi t Card 2,485.00 1 ,�yr�e to Na: totel amoun[
The applicant is responsible for assuring all required a«o�d��� to �drd lssue� ay�eeme��c
requested in conformance with the State Building Co PayOY:
revoked at any time for due cause. ShBI'1 Caylor i.__-__.__.__.__
Total Applied: 2,485.00
�;,-�,,,�,, ,
Change Tendered: .00 "�y„�. '�'�,�,•
Applicant Permitee Signature _______________ Date
11/03/2016 10:16AM