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CITY OF ORONO PERMIT NO.: 2011-01�24 <br /> ! ' • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 12/07/2011 <br /> 9�2 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 764 BRIDGEWATER DR <br /> PIN : 33-118-23-I1-0110 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYP� : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS D�PARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> And <br /> REPLACE 3/4"METER HEAD bi0 BATTERY. PRICE PER SCOTT <br /> ERT- 1831377188 <br /> WATER METER RESIDENTIAL 0 VALUATION OF PLUMBING 0 <br /> APPLICANT WATER METER RESIDENTIAL 172.85 <br /> O.T. Development, LLC <br /> 10300 l OTH AVE N STATE SURCHARGE PLBG(VALUATION) 15.13 <br /> PLYMOUTH,MN 55441- TOTAL 187.98 � <br /> PAID WITN CC# 3796 <br /> OWNER <br /> O.T. Development, LLC <br /> ]0300 l OTH AVE N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�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 autho�ized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for s period of 180 days a[any time afrer 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />