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CITY OF ORONO * Z 0 1 6 - 0 1 2 8 6 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 10/1U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 758 BRIDGEWATER DR <br /> PIN : 33-118-23-I1-0133 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 16 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : CONNECTION <br /> NOTE: CALL FOR INSPECTION WITH PUBLIC WORKS AT 952-249-4600. <br /> SAC PAID#2016-01269 09/26/16 <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPA[R 50.00 <br /> BOLLIG&SONS, INC. STATE SURCHARGE SEWER&WATER 1.00 <br /> 11401 COLINTY ROAD 3 <br /> HOPKINS,MN TOTAL 101.00 <br /> (952)938-4433 Payment(s) <br /> CREDIT CARD 6881 101.00 <br /> OWNER <br /> Stonebrook Development LLC <br /> 17149 LINCOLN ST NE <br /> HAM LAKE, MN 55304- <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[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work�vhich requires separate <br /> permits. All provisions of laws and ordinances govcrning 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 audiorized is not <br /> commenced within 180 days of the date of issuance,or if consVuction 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 an time for due cause. <br /> �. �_ G�/ �� � I (� ��. .�..� /�K f��� i�' , l� , /h <br /> App icant Permitee Signature Date Issued By Signat re Date <br />