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f CITY OF ORONO * z 0 1 5 - 0 0 6 1 3 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2496 SANDSTONE LA <br /> PIN : 33-118-23-11-0023 <br /> LEGAL DESC : STONEBAY <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER-RESIDENTIAL <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 242.65 <br /> WATER METER RESIDENTIAL HORN 80.42 <br /> SCHULTIES PLUMBING TOTAL 323.07 <br /> 1521 94TH LANE NE Payment(s) <br /> BLAINE, MN 55449 CHECK 33287 314.67 <br /> (651)786-4007 CREDIT CARD 9407 8.40 <br /> Minnesota State License#:plbg-058799PM,mech-MB005379 <br /> OWNER <br /> Wooddale Builders Inc. <br /> 6117 BLUE CREEK DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <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 governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expice 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 at any time for due cause. <br /> ' s��5r I S� ' -;�..-l -� : c.��c d� � i �� /S . <br /> Applicant Permitee Signature Date Issued By Signature Date <br />