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• ' CITY OF ORONO PERMIT NO.: 2011-01519 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/06/2011 <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 : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : PASS THROUGH FEES <br /> NOTE: THIS IS THE SEWER&SAC CONNECTION FEE FOR PERMIT#2011- <br /> PAID VIA:OWNERS CHECK#4545 LISA ADAMS <br /> APPLICANT <br /> S.A.C. 2,230.00 <br /> JAMESWEATHER,ROBI SEWER CONNECTION CHARGE-WAYZATA 575.00 <br /> 15 MYRTLEWOOD RD TOTAL 2,805.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> JAMESWEATHER,ROBI <br /> 15 MYRTLEWOOD RD <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 sepazate <br /> pertnits. All provisions of laws and ordinances goveming 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 assuriqg 'red inspections are <br /> requested in confp e wi�ttie$ ing Code.This permit may be <br /> revoked at arty time fo du e. j <br /> �/ � / Q�� / / <br /> A ' t.P itee Signature Date Issued By i ature Date <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />