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CITY OF ORONO * 2017 - 01541 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 V21/2017 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2380 WATERTOWN RD <br /> PIN : 34-118-23-33-0080 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> LOT MB BLOCK MB <br /> PERMIT TYPE SEWER <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> HIGHVIEW PLUMBING INC. S.A.C. 0.00 <br /> 7460 OXFORD ST <br /> ST. LOUIS PARK,MN 55426- TOTAL 51.00 <br /> Payment(s) <br /> CREDIT CARD 1704 51.00 <br /> OWNER <br /> MARTIN,WILLIAM&PATRICIA <br /> 2380 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 /> revoke any time for due cause. <br /> cant Permitee Signature Date Issu&4 By Signature Date <br />