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CITY OF ORONO * z 0 1 5 - 0 0 1 3 7 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 675 SANDSTONE CIR <br /> PIN : 33-118-23-11-0040 <br /> LEGAL DESC : STONEBAY <br /> : LOT 037 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PAID ON NEW HOME PERMIT#201401482-O1/26/15 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> J.S. STEWART COMPANIES STATE SURCHARGE SEWER&WATER 5.00 <br /> ll030 LAMONT AVE <br /> HANOVER,MN 55341 MAIL-IN FEE 2.00 <br /> (763)424-9030 TOTAL 107.00 <br /> Payment(s) <br /> CHECK 6086 107.00 <br /> OWIVER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this permit is issued shall be performed according ro <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[his type of work <br /> shall be compied with whether or not speciYied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 ue <br /> requested in conformance with the State Building Code.This permit may be �, <br /> revoked at any time for due cause. �,/� <br /> �� �W vl �l `�1 �, <br /> /' <br /> �-�. � C��� �-� i il <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />