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CITY OF ORONO PERMIT NO.: 2009-000�g <br /> 1�.� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE tSSUEn: 02/24/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1820 SHADYWOOD RD <br /> PIN : 17-117-23-24-0015 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: REPAIR ONLY <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ROTO ROOTER SERVICES CO. STATE SURCHARGE SEWER&WATER 0.50 <br /> 14530 27TH AVE.N. TOTAL 50.50 <br /> MINNEAPOLIS,MN 55447- <br /> (763)519-3907 <br /> Minnesota State License#:058341 <br /> OWNER <br /> SKJERPING,BRUCE <br /> 1820 SHADYWOOD RD <br /> WAYZATA,MN 55391 <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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is,t sible for assuring all required inspections aze . <br /> requested in cD' ance w' the State Building Code.This permit may be <br /> revoked at u use. /�J <br /> ' w,� � � �o�L "---�- ��1�Cc��-� � - Z ��' <br /> A li t ermitee Si ature Date �� � � <br /> pp � Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />