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+ CITY OF ORONO * 2 0 1 5 - v� 0 7 1 v� * <br /> `� 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3425 SHORELINE DR <br /> PIN : 20-117-23-12-0034 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW WATER CONNECTION <br /> � <br /> APPLICANT _..�v�CT/DISCONNECT/REPAIR 50.00 <br /> �1'ATE SURCHARGE SEWER&WATER 5.00 <br /> PETE'S WATER& SEWER, INC. <br /> 800 LOWRY AVE NE TOTAL 55.00 <br /> MINNEAPOLIS, MN 55418- Payment(s) <br /> (612)789-6162 CREDIT CARD 5380 55.00 <br /> OWNER <br /> Brook Investment Group LLC <br /> 34321 MYRTLE LA <br /> LJNION CITY,CA 94587- <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 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 goveming 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time r due cause. � <br /> ___---�'—� <br /> -- _ �� � ,� /S <br /> -/ i 7� i <br /> _ pplicant Permi ��gnature__.__— Date Issued y ignature Date <br />