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HomeMy WebLinkAbout2010-00120 - water pass through fees CITY OF ORONO PERMIT NO.: 2oiaooi2o 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/03/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 50 MYRTLEWOOD RD PIN : 36-118-23-33-0006 LEGAL DESC : REG. LAND SURVEY NO.0446 . : LOT 000 BLOCK 000 PERMIT TYPE : WATER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : PASS THROUGH FEES NOTE: THIS IS FOR ADDTIONAL$100 FEE FOR PASS THRU TO WAYZATA FOR NEW 2010 RATE. ORIGINAL PERMIT 2009-00922 WAS ISSUED IN 2009 BUT THE PROJECT WASN'T COMPLETED UNTIL 2010. APPLICANT WATER CONNECTION CHARGE-WAYZATA 100.00 CHAMPLIN,MR.&MRS. TOTAL 100.00 50 MYRTLEWOOD RD WAYZATA,MN 55391- OWNER CHAMPLIN,MR.&MRS. 50 MYRTLEWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 the 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.