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CITY OF ORONO * Z p� 1 5 - 0 0 2 4 4 * <br /> ` "' 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2496 SANDSTONE LA <br /> PIN : 33-118-23-11-0023 <br /> LEGAL DESC : STONEBAY <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER&SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS,INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 11401 COLTNTY ROAD 3 <br /> HOPKINS, MN TOTAL 105.00 <br /> (612)938-4433 Payment(s) <br /> CREDIT CARD 9081 105.00 <br /> OWNER <br /> Wooddale Builders Inc. <br /> 6117 BLUE CREEK DR <br /> SUITE 101 <br /> MINNETONKA, MN 55343- <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[he work described and does <br /> not grant permission for additional or related work which requices 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 construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� � �`�%�_. _ <br /> � ,�,7 i f� <br /> Ycant Permitee Signature Date Iss d By Signature Date <br />