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�. <br /> CITY OF ORONO PERMIT NO.: 2oiaooi62 <br /> . 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/22/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2600 PHEASANT RD <br /> PIN : 21-117-23-23-0023 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW WATER AND SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> ABLE EXCAVATING WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 15630 OLD BRICK YARD RD. <br /> SHAKOPEE,MN 55379 STATE SURCHARGE SEWER&WATER 0.50 <br /> (952)445-7432 TOTAL 100.50 <br /> Minnesota State License#: 994 PAID WITH CC# 4966 <br /> OWNER <br /> HADDEN,TIMOTHY&JULIANN <br /> 2600 PHEASANT RD <br /> EXCELSIOR,MN 55331- <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 consWction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applica�t is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C���C 3 /s3o2.-r d0/� �.3 / �D/D <br /> Applicant Perm�tee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />