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°` � CITY OF ORONO PERMIT NO.: 2008-00305 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/17/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3546 IVY PL <br /> PIN : 20-117-23-42-0018 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NOTE: <br /> WATER AND SF,WER DISCONNECT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 35.00 <br /> DASEN CO. WATER CONNECT/DISCONNECT/REPAIR 35.00 <br /> 24245 NATOHEZ <br /> LAKEVILLE,MN 55044 STATE SURCHARGE SEWER&WATER 0.50 <br /> TOTAL 70.50 <br /> OWNER <br /> DRAZAN, M►CHAEL&MARY <br /> 3546 IVY PL <br /> WAYZATA, MN 55391- <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 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 if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion 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 Buii ng Code.This permit may be <br /> revoked a time for d ause. <br /> t�z��a� `���� �J l l � � <br /> plicant Permitee Signature Date I ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />