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CITY OF ORONO PERMIT NO.: 2010-00829 <br /> 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE ISSUEu: 09/13/2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 CHERRY AVE <br /> PIN : 08-117-23-33-0026 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPA[R 50.00 <br /> KOTHRADE SEWER& WATER STATE SURCHARGE SEWER& WATER 5.00 <br /> 12059 WHITETAIL AVENUE <br /> HANOVER, MN 55341 S.A.C. 0.00 <br /> O TOTAL 55.00 <br /> Minnesota State License#: 0192 <br /> OWNER <br /> SCHULTZ, KEVIN <br /> 5620 GIRARD AVE N <br /> MINNEAPOLIS, MN 55430- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians and specifications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> pennits. All provisions ot�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 /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoljgd at any time for due cause. <br /> ��:�'��-ca�i��� _ � i �� i lC� l i <br /> Applicant Per itee Signature Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />