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t . , CITYOFORONO * 20 14 - 00760 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADllRESS : 3759 CASCO AVE <br /> PIN : 20-117-23-31-0010 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DISCONNECTION <br /> NO"TF,: WATER& SGWF,R DISCONNGCT <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPA[R 50.00 <br /> GROTH SEWER & WATER STATE SURCHARGE SEWER& WATER 5.00 <br /> 775 TOWER DRIVE <br /> HAMEL, MN 55340- TOTAL 105.00 <br /> (763)478-6712 Payment(s) <br /> CHECK 15989 105.00 <br /> OWNER <br /> TONKA DEVELOPMENT <br /> 216 WATER STREET <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sl�all be perl�ormed according to <br /> the approved plans and spccifications,applicable City approvals,and the <br /> State Building Code. This perniit 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."l�his permit will <br /> expire and become null and void itconstruction authorized is no[ <br /> commenced within 180 days of the d�te of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter 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 anv ime for duc cause. <br /> f ;� �-�/ !%`��_--- / �/v i �� l/L-- / / <br /> Applieant Per itee Signature � Date ]ssued y Signature Date <br />