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• CITY OF ORONO PERMIT NO.: 2011-01471 <br /> 2750 KELLEY PARKWAY <br /> 4 ORONO, MN 55356- D Z" y .. 2011 <br /> 952 249-4600 FAX: 952 249-4616 t 1/ E <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N + <br /> PIN : 33-118-23-13-0017 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : WATER <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER CONNECTION ONLY,RUNNING NEW LINE FOR OLD ABC BLDG,AFTER LINE IS REMOVED BETWEEN BUILDINGS. <br /> APPROVED BY LYLE OMAN <br /> APPLICANT WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> VOSON PLUMBING INC. STATE SURCHARGE SEWER&WATER 5.00 <br /> 1515A 5TH STS TOTAL 55.00 <br /> HOPKINS,MN 55343 <br /> (952)938-9300 <br /> Minnesota State License#: 677445-PM <br /> OWNER <br /> RYAN COMPANIES US,INC. <br /> 50 SOUTH 10TH.STREET SUITE <br /> MINNEAPOLIS, <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 assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be �,'v <br /> /G <br /> revokedtime for due cause. /� <br /> —.------------- / / ?4.--,02—t_.0-Yrt..“--r2 <br /> 1 ��3 --1/ <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />