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CITY OF ORONO * z 0 1 7 - 0 0 5 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/3U2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 767 BRIDGEWATERDR <br /> PIN : 33-118-23-12-0089 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER AND WATER CONNECTION <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> BOLLIG&SONS,INC. STATE SURCHARGE SEWER&WATER 1.00 <br /> 11401 COLJNTY ROAD 3 <br /> HOPKINS,MN 55343- S.A.C. 0.00 <br /> (952)938-4133 TOTAL 101.00 <br /> Payment(s) <br /> CREDIT CARD 9081 101.00 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CR DR <br /> [JNIT#101 <br /> MINNETONKA,MN 55343- <br /> AGREEME1vT 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 rype of work <br /> shall be compied with whe[her 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[he 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 responsi for assuring all required inspections are <br /> requeste conforman ith the State Building Code.This permit may be <br /> revoke at ny time for e cause. <br /> _ , �� _1 � �t'�e � %3 � 7 <br /> Applicant Permitee Signature Date ssued Signature Date <br />