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CITY OF ORONO PERMIT NO.: 2011-00238 <br /> '' ' ' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 04/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4415 NORTH SHORE DR <br /> PIN : 07-117-23-43-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE ��`CONNECTION <br /> NOTE: SEWER CONNECTION-PIPE SIZE-4" -MATERIAL-SCHEDULE 40 <br /> � <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 6501 CO.RD 15 TOTAL 55.00 <br /> MOLJND,MN 55364 <br /> (952)472-4959 <br /> Minnesota State License#: 1804 <br /> OWNER <br /> TWOMEY,DAREA&CHRIS <br /> 150 2ND STREET NE <br /> MINNEAPOLIS,MN 55413- <br /> AGREEMENT AND SWORN 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 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 specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consWction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for suring all required inspections are <br /> ' requested in conform i e State Building Code.1'his permit may be <br /> revoke ti r d se. <br /> /�a / (� ��-2 /�� <br /> A licant Permrtee Signature Date I By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> t <br />