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CITY OF ORONO * 2 0 1 4 - r� 1 3 z s * <br /> �� 2750 KELLEY PARKWAY DATE ISSUED: ll/13/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1410 CHERRY PL <br /> PIN : 08-117-23-33-0081 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTG: SEWI�.R DISCONNFC'l� <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER& WATER 5.00 <br /> D.S.M. EXCAVATING TOTAL 55.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS, MN 55033- Payment(s) <br /> (651)480-1355 CREDIT CARD 0444 55.00 <br /> OWNER <br /> TORGERSON, KEVIN &TGRESA <br /> 1410 CHERRY PL <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 scparate <br /> permits. All provisions of laws and ordinances governing[his typc of work <br /> shall be compied with whether or not specified herein.'I'his permil 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 /> "I�he applicant is responsible for assurinc all required inspections are <br /> requestcd in conti�rmance with the State Building Code.This permit mav�be <br /> revoked at anv time r due ca e. <br /> / 1�..� 3 -1v G��- i i �� ��� <br /> Applic� t Permitee Signature � Date � [ss By Signature Date <br />