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p , �' CITY OF ORONO PERMIT NO.: 2008-00193 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssvEv: 09/08/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 795 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0020 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: <br /> NEW WATER AND SEWER INSTALLA"I'ION. <br /> APPLICA1vT SEWER CONNECT/DISCONNECT/REPA[R 35.00 <br /> GROTH SEWER&WATER WATER CONNECT/DISCONNECT/REPAIR 35.00 <br /> 775 TOWER DRIVE <br /> HAMEL,MN 55340- STATE SURCHARGE SEWER&WATER 0.50 <br /> (763)478-6712 TOTAL 70.50 <br /> Minnesota State License#: 058606-PM <br /> OWNER _ <br /> O.T. Development,LLC <br /> LLC,O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO, 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 /> reques[ed in conformance with the State Building Code.�hi permit may be <br /> revoked a any for due cause. � i <br /> � �� � � �� <br /> Applicant Permitee Signature Date Ys ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC IB ABOVE. <br />