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CITY OF ORONO � <br /> f ��; 2750 KELLEY PARKWAY * 2 P1 1 4 - 0 0 5 3 7 * <br /> DATE ISSUED: 06/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2526 SANDSTONE LA <br /> PIN : 33-118-23-11-0018 <br /> LEGAL DESC : STONEBAY <br /> : LOT O15 BLOCK OOl <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTF,: WATER AND SGWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG & SONS, [NC. STATE SURCHARGE SEWER& WATER 5.00 <br /> 11401 COUNTY ROAD 3 <br /> HOPKINS, MN TOTAL 105.00 <br /> (612)938-4433 Payment(s) <br /> CREDIT CARD 8719 105.00 <br /> OWNER <br /> Stonebrook Homes <br /> 1016 COVEWIRY PL <br /> EDINA, MN 55424- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he 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 rela[ed 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 au[horized is not <br /> commeneed 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 /> revoke any time for due cause. <br /> ��Z' --�Y � io7� <br /> Applicant Permitce. ignature Date (ssue y Signatur� Date <br />