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CITY OF ORONO 1 11 1 1 111 1 11 1 1 1 1 1 1I 1 I II <br /> * <br /> 2750 KELLEY PARKWAY * z 0 I. 7 — 0 0 8 4 <br /> DATE ISSUED: 07/26/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2345 OLIVER HILL <br /> PIN : 34-118-23-33-0076 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 1 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 /> Payment(s) <br /> NEW MARKET,MN 55054- CREDIT CARD 5684 51.00 <br /> (612)366-4995 <br /> Minnesota State License#:GENR-PB645357 <br /> OWNER <br /> ALBRECHT,AADAM&KERRI <br /> 2167 WATERTOWN RD <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 assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked t any time for due cause. <br /> oma^- 6 7 /2& ,/,7- <br /> Applicant Permitee Signature Date Issued Signature Date <br />