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. CITY OF ORONO * z 0 1 5 - 0 0 1 3 8 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 677 SANDSTONE CIR <br /> PIN : 33-118-23-11-0041 <br /> LEGAL DESC : STONEBAY <br /> : LOT 038 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SAC PAID ON NEW HOME PERMIT#2014-01484-OU26/15 <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> J.S. STEWART COMPANIES STATE SURCHARGE SEWER& WATER 5.00 <br /> 11030 LAMONT AVE <br /> HANOVER,MN 55341 MAIL-IN FEE 2.00 <br /> (763)424-9030 TOTAL 107.00 <br /> Payment(s) <br /> CHECK 6086 107.00 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON, MN 55327- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 au[horized 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. �L�� <br /> �� �-�� r,��,r.� � � �-Y�c� � � � �-- /�'S� <br /> Applicant Permitee Signat e Date Iss�ed By Signature Date <br />