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` CITYOFORONO * Z0 15 - 0PJ446 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 04/17/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 790 BROWN RD N <br /> PIN : 34-118-23-11-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : CONNECTION <br /> NOTE: SAC PD#2015-00077 03/10/15 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> SCHERBER COMPANY, LLC STATE SURCHARGE SEWER&WATER 5.00 <br /> 20160 75TH LANE N <br /> CORCORAN, MN 55340- TOTAL 105.00 <br /> (763)497-1100 Payment(s) <br /> CHECK 16350 105.00 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY,MN 55427- <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 perrrtit 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 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 l80 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 for due cause. � <br /> fC�-� <br /> . �. ' � 1 �1 /r��� <br /> �_�' .�/ ,�c.�,(_ �7'Ylk C� � / / <br /> A plicant Permitee Si na ure Date Issued By Signature Date <br />