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CITY OF ORONO * 2017 - 00057 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OV20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 230 TONKA AVE <br /> PIN 05-117-23-14-0029 <br /> LEGAL DESC BAYSIDE ADDN TO LAKE MINNETONK <br /> LOT 000 BLOCK 002 <br /> PERMIT TYPE SEWER&WATER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DISCONNECTION <br /> NOTE: DISCONNECT ONLY <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER&WATER WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 775 TOWER DRIVE STATE SURCHARGE SEWER&WATER 1.00 <br /> HAMEL,MN 55340- TOTAL 101.00 <br /> (612)919-0247 <br /> Payment(s) <br /> CHECK 10999 101.00 <br /> OWNER <br /> Everlast Enterprises Inc <br /> 4109 NORTH SHORE DR <br /> MOUND,MN 55364- <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 governing 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> App scant Permitee Signature Date Issued Byi�S gnature Date <br />