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CITY OF ORONO * z 0 1 z - ID 0 z i s * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2012 <br /> ' ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 15 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0013 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : PASS THROUGH FEES <br /> NOTE: THIS IS THE WATER CONNECTION FEE FOR PERMIT#2012-00217 <br /> SEWER CONNECTION&SAC WAS ON PERMIT#2011-01520 <br /> PAID VIA:CHECK 4561 ROBI JAMESWEATHERS <br /> APPLICANT WATER CONNECTION CHARGE-WAYZATA 1,122.00 <br /> JAMES WEATHER,ROBI TOTAL 1,122.00 <br /> 15 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> JAMESWEATHER,ROBI <br /> 15 MYRTLEWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�i 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 sepazate <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 after work has commenced. <br /> The applicant is responsible.for all required inspections aze <br /> requested in c6n�nance with the _�3ui.lding Code.This permit may be <br /> revoked at any ti for du . <br /> ; / <br /> %� ��'� /2� /�'�p2 / / <br /> App,' � itee Signature Date Issued By i ature Dat <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />