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„ , , CITY OF ORONO * Z 0 1 3 - 0 0 3 2 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/07/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 SMITH AVE <br /> PIN : 02-117-23-21-0019 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PD BY HOMEOWNER CK 3032 <br /> SEWER PERMIT PD BY HOMEOWNER CK 3033 <br /> SEWER CONTRACTOR MAXIMUM CONTRACTOR LLC <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GHERARDI,LORI STATE SURCHARGE SEWER&WATER 5.00 <br /> 2985 WATERTOWN RD <br /> WAYZATA,MN 55391- S.A.C. 2,435.00 <br /> TOTAL 2,490.00 <br /> OWNER <br /> GHERARDI,LORI <br /> 2985 WATERTOWN 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 applic t is respon le for asswing all required inspections aze <br /> re uested' conforman with the State Building Code.This permit may be <br /> re ed at time for e cause. <br /> /� � � l <br /> � / / <br /> Ap cant itee Signat e Date Issue y ' ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />