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. CITY OF ORONO * 2 0 1 3 - 0 0 8 7 9 * <br /> , " 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2013 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2789 PHEASANT RD <br /> PIN : 21-117-23-32-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0310 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 2916 ENTERPWSE AVE <br /> HASTINGS, MN 55033- STATE SURCHARGE SEWER&WATER 5.00 <br /> (651)480-1355 TOTAL 105.00 <br /> PAID WITH CC# 0444 <br /> OWNER <br /> TEYNOR,GAIL&JOSEPH <br /> 13225 CARDINAL CREEK RD <br /> EDEN PRAIRIE, MN 55346- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved pians 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 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 assuring all required inspections aze <br /> requested in conformance wi the State Building Code.This permit may be <br /> revoked at any ti r d us <br /> O l !/6 / f / / <br /> A pli a t ermitee Signatu Date Issued By Si re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO . <br />