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� CITY OF ORONO * Z 0 1 5 - 0 1 5 5 � <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 BRIAR ST <br /> PIN : 10-117-23-31-0053 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: RECONNECT SEWER <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> METRO GENERAL SERVICES, INC. <br /> 5790 QUAM AVENUE NE TOTAL 51.00 <br /> ST. M[CHAEL, MN 55376 Payment(s) <br /> (612)369-1068 CREDIT CARD 4487 51.00 <br /> OWNER <br /> ZITZLOFF,JEFFREY&BRENDA <br /> 1380 BRIAR ST <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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring aIl required inspections are <br /> requested in conform nce with the State Building Code.This permit may be <br /> revoked at any time r due cau . <br /> I� l/<S /�-S <br /> icant Permitee Signat e Date Issued Signature Date <br />