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� <br /> � CITY OF ORONO PERMIT NO.: 20��-o�s2o <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 15 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0013 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PAID ON PERMIT 2011-01519$2230.00 PD BY HOMEOWNER <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> AMERICAN MECHANICAL CO,INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 7120 71ST AVE.N. TOTAL 55.00 <br /> PO BOX 205 <br /> LORETTO,MN 55357- <br /> (612)750-0278 <br /> Minnesota State License#:065381 PM <br /> OWNER <br /> JAMESWEATHER,ROBI <br /> 15 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWOR1�1 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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 I80 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 aze <br /> requested i ance e State Building Code.This permit may be <br /> revoked��i any t� e for du use. <br /> ' ��� � C/ t// � ( �� <br /> . � <br /> /A, t Permitee Signature Date Issue ignature Date <br /> ( <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />