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. CITY OF ORONO * 2 0 1 6 - PJ 1 5 1 Z * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1565 FAIRVIEW COTTAGE LA <br /> PIN : 07-117-23-43-0033 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS, INC. STATE SURCHARGE SEWER&WATER 1.00 <br /> 11401 COUNTY ROAD 3 TOTAL 51.00 <br /> HOPKINS, MN 55343- Payment(s) <br /> (952)938-4133 CREDIT CARD 9081 51.00 <br /> OWNER <br /> MARY SNYKER BECKER, T[MOTHY BECKER & <br /> 1565 FAIRVIEW COTTAGE LANE <br /> MOUND, MN 55364- <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 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 l80 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 E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / <br /> �� � �a`� a-� � <br /> Applicant Permitee Signature Date [ssued By i ature Date <br />