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_ CITY OF ORONO * 2 P1 1 3 - 0 P1 9 Z 7 * <br /> � 2750 KELLEY PARKWAY nA'rE ISSU��: 09/10/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 80 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-OO18 <br /> LEGAL DESC : CREEKSIDE [N ORONO <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPF. : WATER METER- RESIDENTIAL <br /> NOTG: [NSFPCTIONS ARE DONG BY PUBLIC WORKS DF?PARTMENT. <br /> TO SGT-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENTIAL HORN I WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 392.92 <br /> TIGER HEATING& AIR WATER METER RESIDENTIAL HORN 104.45 <br /> 12100 SINGLETREE LN <br /> EDEN PRAIRIE, MN 55346- TOTAL 497.37 <br /> (952)448-4769 PAID WITH CC# 9015 <br /> Minnesota State License#: PC 643398 <br /> OWNER <br /> Hometime Video Publishing Inc <br /> 4355 PEAVY RD <br /> CHASKA, MN 55318- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for which this permit is issued shall be performcd according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or no[specitied 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 /> reques[ed in conformance with thc State Building Code.This permit may be <br /> revoked at any[ime for due eause. <br /> � � � / �/ / / / <br /> Applicant Permitee ig re Date Issued y Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCR[BED ABOVE. <br />