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• � CITY OF ORONO * z 0 1 6 - 0 1 1 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3220 NAVARRE LA <br /> PIN : 17-117-23-44-0058 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 064 BLOCK 000 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : REPAIR <br /> NOTE: INSPECT AFTER ATTACHING WATERLINE <br /> APPLICANT WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> DUSTY'S DRAIN CLEANWG INC TOTAL 51.00 <br /> P O BOX 262 Payment(s) <br /> ST FRANCIS,MN 55070- CHECK 1547 51.00 <br /> (763)286-8741 <br /> Minnesota State License#: plbg-PM065901 <br /> OWNER <br /> HARRINGTON, DEVIN <br /> 3220 NAVARRE LANE <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 rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuil and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or iY construction 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 Building Code.This permit may be <br /> revoked at any time for due cause. , <br /> ___._ <br /> ; <br /> i <br /> _.-- � � ��_ � � z� �� � �Z� �' i,2l� � �'� <br /> Applic t Permitee S' ature Date Issued By ignature Date <br />