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` �� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 5 - 0 0 4 8 8 * <br /> DATE ISSUED: 04/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2335 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0066 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : SEWER& WATER �� �� I� � . <br /> PROPERTY TYPE : RESIDENTIAL j( � � <br /> � I <br /> CONSTRUCTION TYPE : CONNECTION <br /> -�-�J'�� Q.;.`JS���C�CQ�: <br /> NOTE: NEW WATER AND SEWER CONNECTIONS. l.�L/ L�C� <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> WATER CONNECT/DISCONNECT/REPAIR 50.00 <br /> PROFESSIONAL GROUNDS MAINTENANCE STATE SURCHARGE SEWER&WATER 5.00 <br /> 1515 CONSTANCE BLVD NE <br /> HAM LAKE,MN 55304- MAIL-IN FEE 2.00 <br /> (763)434-3494 TOTAL 107.00 <br /> Minnesota State License#: SW-057136 Payment(s) <br /> CHECK 52342 107.00 <br /> OWNER <br /> Advanced Home Exteriors Inc. <br /> 1161 WAYZATA BLVD E <br /> SUITE 167 <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEME1vT <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 required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a[any time for due cause. <br /> C �,� � �.-� � - � �S <br /> Applicant Permitee Sig ature Date Issued y Signature Date <br />