2009-00055 - water meter - Laserfiche WebLink

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/ � �` CITY OF ORONO PERMIT NO.: 2009-00055 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuE�: 02/1U2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3935 SHORELINE DR PIN : 20-117-23-22-0002 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 001 BLOCK 008 PERMIT TYPE : WATER METER PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER METER NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 5/8" METER HORN ONLY WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 0 APPLICANT WATER METER RESIDENTIAL 0.00 BEDELL, MR.& MRS. JAMES WATER METER RESIDENTIAL HORN 66.83 3935 SHORELINE DR SPRING, MN 55384 TOTAL 66.83 PAID WITH CASH 66.83 OWNER BEDELL, MR. &MRS. JAMES 3935 SHORELINE DR SPRING, MN 55384 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buildi g Code.This permit may be revok at any time for due cause. .f�� S/ � � � �l �l l !� �' Ap licant Permitee Signature Date �� Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.