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CITY OF ORONO * 2 PJ 1 6 - 0 0 3 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3185 CASCO CIR <br /> PIN : 20-117-23-43-0057 <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�T TYPE : RE-CONNECT <br /> NOTE: SAC GRANDFATHERED IN-H/U#2283 10/6/69&HOME PRIOR <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> COPPIN SEWER&WATER STATE SURCHARGE SEWER&WATER 1.00 <br /> 864 QUAIL PKWY <br /> WATERTOWN,MN 55388- TOTAL 101.00 <br /> (612)508-9974 Payment(s) <br /> Minnesota State License#: SW-57329MR CHECK 4868 101.00 <br /> OWNER <br /> YAFFE,HARRY&BELLE <br /> 2300 ARCHERS LA <br /> MINNETONKA, MN 55305- <br /> AGREEMEIYT 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 goveming 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 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. _ <br /> ,^ ilt� <br /> . , � �%�;� � /,t-� f s � ��� /y�/�- <br /> Appl cant Permite S�gnature � Date Issued By Signature Date <br />