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CITY OF ORONO * Z 0 1 5 - P1 0 6 1 Z * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 683 SANDSTONE CIR <br /> pIN : 33-118-23-11-0043 <br /> LEGAL DESC : STONEBAY <br /> : LOT 040 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOPI TYPE : CONNECTION <br /> NOTE: SAC PERMIT#2015-00264 03/03/15 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> J.S. STEWART COMPANIES STATE SURCHARGE SEWER&WATER 5.00 <br /> 11030 LAMONT AVE <br /> HANOVER, MN 55341 TOTAL 105.00 <br /> (763)424-9030 Payment(s) <br /> CHECK 6252 105.00 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON, MN 55327- <br /> AGREEMENT AIYD 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 sepazate <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 t Stat Iding Code.This permit may be <br /> rev at any ime for due c se. _ <br /> �"'_ � <br /> � c�=r -1 � ►��- � �.�,-,-��f �� � , � � , ,�- _ <br /> icant Permitee Signature Date Issued By Signature Date <br />