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, CITY OF ORONO * Z 0 1 5 - 0 0 2 4 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: <br /> ORONO, MN 55356- ��a��5 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-11-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTIOPi 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 COUNTY ROAD 3 <br /> HOPKINS,MN TOTAL 105.00 <br /> (612)938-4433 Payment(s) <br /> CREDIT CARD 105.00 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> M[NNETONKA,MN 55343- <br /> AGREEMENT AIVD SWORN STATEMEIYT <br /> The work for which[his 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 requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at y time for due cause. <br /> �-- � �7 //-S <br /> plicant Permitee Signature Date Issued Signature Date <br />