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'�'" CITY OF ORONO PERMIT NO.: 2011-00552 <br /> t 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2330 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0063 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECT[ON <br /> NOTE: SAC PAID ON BUILDING PERMIT 201 1-00428 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER& WATER WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 775 TOWER DRIVE <br /> HAMEL,MN 55340- STATE SURCHARGE SEWER&WATER 5.00 <br /> (763)478-6712 TOTAL 105.00 <br /> Minnesota State License#: 058606-PM <br /> OWNER <br /> RHOADS,NICK&JENNY <br /> 140 CARLSON PKWY#308 <br /> MINNETONKA, MN 55345- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> Ihe 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 rclated work which requires separatc <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 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 aRer 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 tigte f due ause. <br /> � / / <br /> Appli _ Permite Signature Date Issued By S ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. <br />