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! <br /> ( a <br /> CITY OF ORONO * z 0 1 7 — ra 1 5 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U16/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 739 STONEBAY DR <br /> PIN : 33-118-23-I1-0071 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW WATER AND SEWER 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- TOTAL 101.00 <br /> (952)938-4133 Payment(s) <br /> CREDIT CARD 9081 101.00 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DRIVE <br /> MINNETONKA,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 after work has commenced. <br /> The applicant is responsible for assuring all quired inspections are <br /> requested in conformance with the State ilding Code.This permit may be <br /> revoked at any time r due cause. � <br /> d � I , , l <br /> q�pplicant Permit ignature Date Issued By S' ature Date <br />