HomeMy WebLinkAbout2011-00442 - SAC only � CITY OF ORONO PERMIT NO.: 2011-00442
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: OS/18/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1155 HERITAGE LA
PIN : 10-117-23-13-0022
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 003
PERMIT TYPE : SEWER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SAC ONLY
NOTE: PAID W11�H CONNECTION CHARGE OF$22,400.00 PAID VIA CK#12367
APPLICANT
S.A.C. 2,230.00
VILTOFT,JORGEN& LUCILLE TOTAL 2,230.00
1 155 HERITAGE LA
WAYZATA, MN 55391-
OWNER
VILTOFT,JORGEN& LUCILLE
1155 HERITAGE LA
WAYZATA,MN 55391-
AGREEMENT AIVD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and docs
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
� shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of thc date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.