Laserfiche WebLink
�. , CITY OF ORONO * 2 0 1 3 - 0 1 2 3 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1105 FERNDALE RD W <br /> PIN : 02-117-23-43-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0441 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NO"rL: NGW SEWER CONNrCTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> OUVERSON SEWER& WATER STATE SURCHARGE SEWER& WATER 5.00 <br /> P O BOX 247 <br /> LORETTO, MN 55357- TOTAL 55.00 <br /> Minnesota State License#: MR86668 <br /> OWNER <br /> TRUWIT, CHIP <br /> l]OS FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The N�ork 1or which this permit is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work deseribed 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 it�construction authorized is not <br /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended ibr a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all requircd inspections are <br /> requested in conformance with the State Building Code."I�his permit may be <br /> revoked any time for due cause. <br /> ,� "- i ' i / � <br /> l/ �2 ;- "�� r i�o� %3 <br /> Ajrplican ermitee Signaturc Date ���� �Iss e y Signature � Date <br /> r <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />