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CITY OF ORONO * Z 0 1 6 - 0 1 3 0 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/14/2016 <br /> . � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3800 CASCO AVE <br /> PIN : 20-117-23-24-0019 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMITTYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: PLEASE CONTACT PUBLIC WORKS TO DO THIS INSPECTION AT 952-249-4600. <br /> SAC PAID#2016-00725 08/29/16 <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> TMS COMPANIES STATE SURCHARGE SEWER&WATER 1.00 <br /> 5990 MEADOWLARK LN <br /> PRIOR LAKE,MN 55372- TOTAL 101.00 <br /> (612)414-5700 Payment(s) <br /> CREDIT CARD 8409 101.00 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> MAPLE GROVE, MN 55369- <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 Ihe <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related�aork 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 nuli 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 afrer work has commenced. <br /> The applicant is responsibie 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 /> ..�--,,7 _. <br /> ,/ ..,..�� .` � <br /> ,..._. / _..,_..,-, <br /> ,/ / , ' 1 / �,-�c�/ � / ../ <br /> Applicant ermrtee Signature Date Issued By Signa ure Date <br />