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• CITY OF ORONO �� <br /> 2750 KELLEY PARKWAY * z 0 1 5 - 0 1 0 4 7 * <br /> > <br /> DATE ISSUED: 08/18/2015 <br />� ORONO, MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2477 SHADYWOOD RD <br /> PIN : 20-117-23-11-0027 <br /> LEGAL DESC : REG.LAND SURVEY NO.0088 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : WATER METER-RELIGIOUS <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : WATER METER-RELIGIOUS <br /> NOTE: ERT#1540059016 <br /> SERIAL#53415947 <br /> NEPTLINE,E-CODER R900I <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 294.42 <br /> WATER METER RESIDENTIAL HORN 80.42 <br /> BERGSTROM PLUMBING TOTAL 374.84 <br /> 26020 104TH STREET Payment(s) <br /> ZIMMERMAN,MN 55398 CHECK 5129 374.84 <br /> (763)856-9898 <br /> OWNER <br /> Int'1 Ministerial Fellowship <br /> 1109 MOORE LAKE DRIVE NE <br /> FRIDLEY,MN 55432- <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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which cequires 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 aze <br /> requested in conformance with the State Building Code.This permit may be ,{�� <br /> revoked at any time for due cause. � <br /> , - � C� � 1'"�-l.�J � � � � (S <br /> � � � <br /> A ic t e ' e � ture a e Issued By Signature Date <br />