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CITY OF ORONO I< 11 lI11111 II II I 1111 1 u 11 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 999 WILDHURST TR <br /> PIN : 07-117-23-21-0005 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: SEWER REPAIR <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> ROTO ROOTER SERVICES CO. TOTAL 55.00 <br /> 14530 27TH AVE.N. <br /> Payment(s) <br /> MINNEAPOLIS,MN 55447- <br /> (763)519-3907 CREDIT CARD 0472 55.00 <br /> OWNER <br /> GRAY, MIKE&DIANE <br /> 999 WILDHURST TR <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 conform.•ce with the State Building Code.This permit may be <br /> revoked at any tim , or due cause. <br /> Ap a licant ' "' ee Signature Date Issued By Sig .,ure ,,'i Date <br />