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CITY OF ORONO PERMIT NO.: 2008-00398 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1 U19/2008 <br /> ° ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2118 SHADYWOOD RD <br /> PIN : 17-117-23-42-0016 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <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 382.70 <br /> LAKE SIDE PLUMB&HEATING INC. VVATER METER RESIDENTIAL HORN 95.00 <br /> 12469 ZINRAN AVE S <br /> SAVAGE,MN 55378 TOTAL 477.70 <br /> (952)8947600 <br /> Minnesota State License#:060769 <br /> OWNER <br /> HANSSEN,PAUL&LEANN <br /> 2118 SHADYWOOD 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 pertnission 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 /> �equested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. /4/�_�� <br /> �Q.,�-.1- 61.�-� / / ��"'�'e c''�-�.c.�h � / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />