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l . . <br /> CITY OF ORONO * 2 0 1 5 - 0 1 1 8 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 664 SANDSTONE CIR <br /> PIN : 33-118-23-11-0058 <br /> LEGAL DESC : STONEBAY <br /> : LOT 009 BLOCK 002 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW WATER AND SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> D.S.M. EXCAVATING STATE SURCHARGE SEWER&WATER 1.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS,MN 55033- TOTAL 101.00 <br /> (651)480-1355 Payment(s) <br /> CREDIT CARD 0444 101.00 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON,MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 consWction 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. -- <br /> � �-/��/s'' �`P,C � �l /lo l! � <br /> Ap icant Permitee Signatu Date Issued B ignature Date <br />