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, CITY OF ORONO * z 0 1 5 - 0 1 5 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U24/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2470 CARMAN ST <br /> PIN : 20-117-23-12-0066 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECT[ON <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> DIVERSIFIED PLUMBING TOTAL 51.00 <br /> POBOX91 <br /> CHASKA, MN 55318- Payment(s) <br /> CREDIT CARD 1082 51.00 <br /> (763)221-5441 <br /> Minnesota State License#: PLUM-71354924 <br /> OWNER <br /> JARNES,JEFF&JACQ <br /> 2470 CARMAN 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 sepazate <br /> permits. AII 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 construc[ion 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 ith the State Building Code.This permit may be <br /> revoked at any ti e for d cause. <br /> � <br /> � ll � i��S <br /> pplicant Permitee Signature Date [ssued Signature Date <br />