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• ?' CITY OF ORONO PERMIT NO.: 2010-00919 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/30/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 100 ORONO ORCHARD RD S <br /> PIN : 02-117-23-21-0032 <br /> LEGAL DESC : ORCHARD VIEW <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: THIS PERMIT IS FOR NEW SEWER CONNECTION <br /> SAC CHARGE OF$2100.00 WAS PAID BY HOMEOWNER-CHECK#4391 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER&WATER STATE SURCHARGE SEWER&WATER 5.00 <br /> 775 <br /> 775 TOWER DRIVE TOTAL 55.00 <br /> HAMEL,MN 55340- <br /> (763)478-6712 <br /> Minnesota State License#:058606-PM <br /> OWNER <br /> HUTHWAITE,MICHEAL&MARILYN <br /> 100 ORONO ORCHARD RD S <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 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 an i e for due cause. a <br /> �� <br /> � / J / fl 36l /6 <br /> .. icant Permi -e Signat re Date Issu:':y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />