HomeMy WebLinkAbout2010-00921 - SAC only CITY OF ORONO PERMIT NO.: 2010-00921
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/30/2010
(952)249-4600 FAX: (952)249-4616
ADDRESS : 110 ORONO ORCHARD RD S
PIN : 02-117-23-21-0022
LEGAL DESC : ORONO ORCHARDS
: LOT 073 BLOCK 000
PERMIT TYPE : SEWER
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : S ` oolLt
'NOTE: THIS SAC CHARGE OF$2100.00 WAS PAID WITH CHECK#7512 BY HOMEOWNER
SEWER CONNECTION PERMIT 2010-00920 WAS ISSUED TO GROTH SEWER&WATER-PD CHECK# 13960
APPLICANT S.A.C. 2,100.00
WYFFELS,JAMES&MAUDE TOTAL 2,100.00
110 ORONO ORCHARD RD S
WAYZATA,MN 55391-
OWNER
WYFFELS,JAMES&MAUDE
110 ORONO ORCHARD RD S
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 does
not grant permission for additional or related work which requires separate
'emits. All provisions of laws and ordinances governing this type of work
ill be compied with whether or not specified herein.This permit will
're and become null and void if construction authorized is not
fenced within 180 days of the date of issuance,or if construction is
led for a period of 180 days at any time after work has commenced.
'icant is responsible for assuring all required inspections are
in conformance with the State Building Code.This permit may be
my time for due cause.
9/o0/ /d
nitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.