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"~ CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 4 - 0 P1 5 7 3 * <br /> DATE ISSUED: 06/09/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952)249-4616 <br /> ADDRESS : 145 SMITH AVE <br /> PIN : 02-117-23-21-0019 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: SEWER CONNECTION-4"PIPE <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> WESTONKA MECHANICAL INC MAIL-IN FEE 2.00 <br /> 6501 COiJNTY RD 15 <br /> MOiJND,MN 55364 TOTAL 57.00 <br /> (952)472-4966 Payment(s) <br /> CREDIT CARD 5597 57.00 <br /> OWNER <br /> LLC,HOCKEY BROS <br /> 2985 WATERTOWN RD <br /> WAYZATA,MN 55391- <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 180 days at any time aRer 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 /> ,e � , 9 <br /> Applicant Permitee Signature a e Issue y Signature Date <br />