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CITY OF ORONO * Z 0 1 5 - 0 1 0 2 6 * <br /> *,,, 2750 KELLEY PARKWAY DATE ISSUED: O8/13/2015 <br /> t ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2755 ETHEL AVE <br /> PIN : 20-117-23-24-0017 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: SAC GRANDFATHERED IN-H/U#2229 08/20/69&HOME PRIOR. <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> TUMA CONSTRUCTION STATE SURCHARGE SEWER&WATER 1.00 <br /> 5045 COUNTY ROAD 19 <br /> M[NNETRISTA, MN 55359- TOTAL 101.00 <br /> (763)479-2982 Payment(s) <br /> Minnesota State License#: BUIL-PB695614 CHECK 4668 101.00 <br /> OWNER <br /> Everlast Enterprises, Inc. <br /> CLEARY,JAMES <br /> 4109 NORTH SHORE DR <br /> MOUND, MN 55364- <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 Ciry 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 sepazate <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 l8(bd�ys at any time�Rer work has commenced. <br /> The applicant is responsibl�fo�tassuring all reqwred inspections are <br /> requested m nformanc�'wi�the State Buiiding Code.This permit may be <br /> revoked.at y time for,clu�ause. ��� � <br /> f-� ���� � � -- � � � � ' ��--6 �� � �'� ,/� <br /> U <br /> A icant Permitee Signature Date Issued By Signatu Date <br />