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. • CITY OF ORONO * Z 0 1 5 — 0 0 5 0 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1575 MAPLE PL <br /> PIN : 08-117-23-33-0032 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT O10 BLOCK 006 <br /> PERMIT TYPE : SEWER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: NEW SEWER CONNECTION <br /> APPLICANT SEWER CONNECT/DISCONNECT/REPAIR 50.00 <br /> STATE SURCHARGE SEWER&WATER 5.00 <br /> J P SCHMITZ CONSTRUCTION COMPANY LL TOTAL 55.00 <br /> 16450 117TH AVE N Payment(s) <br /> MAPLE GROVE,MN 55369- CHECK 2528 55.00 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> DAYTON,MN 55369- <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 /> permi[s. 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 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conf ce with the State Building Code.This permit may be <br /> revoked at any ' e r c�e�use. <br /> , r /,,- <br /> , <br /> � `� � ic1 i 5 <br /> plicant Permit�.S}gnature Date Iss By Signature Date <br />