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I 1111111 I l.. II II 1111111 .111 <br /> , ,� CITY OF ORONO * 2 0 1 7 - 0 0 0 0 1 <br /> 2750 KELLEY PARKWAY SSUED: 01/03/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 570 ORONO ORCHARD RD S <br /> PIN : 02-117-23-31-0057 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT MB BLOCK 13 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER AND SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> KOTHRADE SEWER&WATER WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> 12059 WHITETAIL AVENUE STATE SURCHARGE SEWER&WATER 1.00 <br /> HANOVER,MN 55341 MAIL-IN FEE 2.00 <br /> () TOTAL 103.00 <br /> Minnesota State License#:plbg-RP645681 Payment(s) <br /> CREDIT CARD 9381 103.00 <br /> OWNER <br /> J Brunello LLC <br /> 230 BROADWAY AVE N <br /> WAYZATA,MN 55391- <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 at any time for due cause. <br /> 6----7/1A_Adt C) PI,I <br /> Applicant Permitee Signature Date Issued By gnature Date <br />