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CITY OF ORONO <br /> * 2017 - 01194 * <br /> 7 <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: 09/25/2017 <br /> ORONO,MN 55356- <br /> 952 2494600 FAX: 952 249-4616 <br /> ADDRESS : 685 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-21-0002 <br /> LEGAL DESC : UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER CONNECTION-PIPE SIZE 6",MATERIAL 0900 <br /> APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> HOBS EXCAVATING <br /> TOTAL 51.00 <br /> PO BOX 42 <br /> ELK RIVER,MN 55330- Payment(s) <br /> (763)241-3908 CHECK 4857 51.00 <br /> OWNER <br /> SCHOOLS,ORONO PUBLIC <br /> 765 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <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 governing 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 assuming 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 /> nri��i/7 <br /> Applicant Petznitee Signature Date Issu By Signature Date <br />