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' CITY OF ORONO * Z 0 1 2 — PJ fd 5 3 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/14/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3925 CHERRY AVE <br /> PIN : 08-117-23-33-0086 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECT[ON <br /> NOTE: NEW SEWER CONNECTION-4"PIPE <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WESTONKA MECHANICAL INC <br /> 6501 COUNTY RD 15 STATE SURCHARGE SEWER& WATER 5.00 <br /> MOLJND, MN 55364 TOTAL 55.00 <br /> (952)472-4966 <br /> OWNER <br /> Real Assets LLC <br /> 550 25TH AVE N <br /> ST CLOUD,MN 56301- <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 permi[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 wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 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 ny time � �e cause. <br /> �� ,, % � ��r , (2 - /'�i / L <br /> Ap licant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />