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CITY OF ORONO * z 0 1 5 - 0 1 1 5 3 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2450 COBBLESTONE CT <br /> PIN : 33-118-23-11-0082 <br /> LEGAL DESC : STONEBAY SIXTH ADDITION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : RE-CONNECT <br /> NOTE: SAC PAID#2015-00800 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPA[R 50.00 <br /> BOLLIG&SONS, [NC. STATE SURCHARGE SEWER& WATER 1.00 <br /> 1 1401 COLJNTY ROAD 3 <br /> HOPKINS, MN TOTAL lO1.00 <br /> (952)938-4433 Payment(s) <br /> CREDIT CARD 6881 101.00 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR <br /> SU[TE 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 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 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 are <br /> requested in conformance with the State Building Code.This permit may be ,�� ) <br /> revoked at any time for due cause. <br /> ! :,� . <br /> 1 ` <br /> / <br /> _�v �� ��� � ��� 1 I �� t {,�,�� � �� � ��, ��-- <br /> Applicant Permitee Signature Date Issued By Sig�i ture Date <br />