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- CITYOFORONO * 2012 - 0PJZ98 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 <br /> , ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 70 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0018 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : � (,vld e Fi nec� <br /> NOTE: THIS PERMIT IS FOR BRINGING THE SEWER LINE FROM THE STREET TO THE HOUSE ONLY. IT W[LI,BE CAPPED-NO <br /> SERVICE. WHEN IT IS CONNECTED IN THE FUTURE A SEWER CONNECTION PERMIT WILL BE NEEDED AS WELL AS SAC WILL <br /> NEED TO BE PAID. <br /> VALUATION OF PLUMBING 1250 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> RSON CONTRACTING STATE SURCHARGE PLBG(VALUATION) 0.63 <br /> 4410 <br /> OAKDALE, MN 55128- TOTAL 50.63 <br /> (651)770-2338 <br /> OWIYER <br /> SWANSON,JOSEPH <br /> 70 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this perniit 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 ays of the date of issuance,or if construction is <br /> suspended for a perio 0 180 days at any time afrer work has commenced. <br /> The applicant is resp s le for assuring all required inspections are <br /> requested in confor an e with the State Building Code.This permit may be <br /> revoked at a tim fo due cause. <br /> / � / �Z / / <br /> lic erm ee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />