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� -• CITY OF ORONO * z 0 1 7 - 0 1 1 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2420 OLD BEACH RD <br /> PiN : 21-117-23-22-0002 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : SEWER&WATER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CONNECTION <br /> NOTE: WATER AND SEWER RECONNECTON <br /> APPLICANT SEWERCONNECT/DISCONNECT/REPAIR 50.00 <br /> GROTH SEWER&WATER WATERCONNECT/DISCONNECT/REPAIR 50.00 <br /> 775 TOWER DRNE STATE SURCHARGE SEWER&WATER 1.00 <br /> HAMEL, MN 55340- TOTAL 101.00 <br /> (612)919-0247 Payment(s) <br /> CHECK 101.00 <br /> OWNER <br /> SANGUINETTI, JOSEPH <br /> 2420 OLD BEACH 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 l80 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 t r due cause. • <br /> ; �� � � i��� <br /> Applicant e it ' atur Date Issued B ignature Date <br /> i <br />