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CITY OF ORONO PERMIT NO.: 2008-00265 <br /> j,� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/01/2008 <br /> • <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2095 WEBBER HILLS RD <br /> PIN : 03-117-23-34-0023 <br /> LEGAL DESC : WEBBER HILLS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : SEWER <br /> ' :6 <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION t <br /> i <br /> NOTE: <br /> SEWER CONNECTION- 1-1/4"PIPE-E-1 GRINDER STATION <br /> i <br /> - <br /> . J 6 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00 <br /> KOTHRSEWER&WATER STATE SURCHARGE SEWER&WATER 0.50 <br /> 12059 <br /> 12059 WHITETAIL AVENUE TOTAL 35.50 <br /> HANOVER,MN 55341 <br /> 0 <br /> Minnesota State License#: 0192 <br /> OWNER <br /> SWEEN,THOMAS&DEVIN <br /> 2095 WEBBER HILLS 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 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 /> / '/- 4kiat /0 / G// or <br /> Applicant Permitee Signature Date �r;By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK 4 THER THAN DESCRIBED ABOVE. <br />