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CITY OF ORONO [ [ II' I I I I 111 <br /> 2750 KELLEY PARKWAY * 2017 - 0 0 4 0 <br /> DATE ISSUED: 04/24/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2335 OLIVER HILL <br /> PIN : 34-118-23-33-0077 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 2 BLOCK 2 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 1.00 <br /> GILES BROTHERS EXCAVATING INC TOTAL 51.00 <br /> 4114 JUDY CT <br /> NEW MARKET,MN 55054 <br /> Payment(s) <br /> (612)366-4995 CREDIT CARD 2625 51.00 <br /> Minnesota State License#:GENR-PB645357 <br /> OWNER <br /> D'ALESSANDRO,GREG&JENNIE <br /> 6368 HIDDEN LAKE CIR <br /> RICHLAND,MI 49083- <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 /> request in conformance with the State Building Code.This permit may be <br /> revoked t any time for due cause. <br /> i°6 iSSO 541g/ <br /> • Permite gnature Date Issued B gnature Date <br />