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, CITY OF ORONO * 2 0 1 5 - 0 1 1 5 4 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2460 COBBLESTONE CT <br /> PIN : 33-118-23-11-0081 <br /> LEGAL DESC : STONEBAY SIXTH ADDITION <br /> : LOT 003 BLOCK 001 <br /> PERMITTYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTIOl�1 TYPE : RE-CONNECT <br /> NOTE: SAC PD#2015-00798 08/OS/15 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPA[R 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG& SONS, INC. STATE SURCHARGE SEWER&WATER 1.00 <br /> 11401 COLJNTY ROAD 3 <br /> HOPKINS,MN TOTAL 101.00 <br /> (952)938-4433 Payment(s) <br /> CREDIT CARD 6881 101.00 <br /> OWNER <br /> Wooddale Builders <br /> 6l 17 BLUE CIRCLE <br /> SU[TE 101 <br /> MINNETONKA,MN 55343- <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 goveming 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 I80 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 tim�for due cause. , ��� <br /> } <br /> ���w� � �lv��� ����,���; � �����-i;� �i , � ��, � � <br /> Applic t Permitee Signature Date Issued By Signature Date <br />