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CITY OF ORONO III I II �I� IV I 0I �1I 1 11l�11HI* � 5 � 1II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2015 <br /> ORONO, MN 55356- <br /> • <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: PLEASE CALL OUR PUBLIC WORKS DEPARTMENT AT 952-249-4600 TO SCHEDULE AN INSPECTION.24-48 NOTICE <br /> REQUIRED. <br /> APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> VOSON PLUMBING INC. TOTAL 55.00 <br /> 1515 A 5TH ST S <br /> Payment(s) <br /> HOPKINS, MN 55343 CHECK 040573 55.00 <br /> (952)938-9300 <br /> Minnesota State License#: plbg-677445-PM <br /> OWNER <br /> Jem Technical <br /> 450 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 wort <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 attime after work has commenced <br /> The applicant is responsible for assuring ll required inspections are ���.-� <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ( / 2 // S <br /> � 1 <br /> Applicant Permitee Signature Date Issued By Signature Date <br />