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, CITY OF ORONO * Z 0 1 4 - 0 0 5 4 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2014 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 CREEK RIDGE PASS <br /> P[N : 03-117-23-12-0012 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : WATER METER -RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER- RESIDENTIAL <br /> NOTF,: INSEPCT[ONS nRE DONE BY PUBLIC WORKS DEPAR"1'MEN'1�. <br /> TO SET-UP AN INSPECTION,P1,EASE CALL:(952)249-4613 <br /> 1" WATF,R METER <br /> SERIAL NUMI3ER 52648043 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WA"I'ER METER RESIDENTIAL 392.92 <br /> WATER METER RESIDENTIAL HORN 104.45 <br /> KRG PLUMBING INC MISC FEE 0.00 <br /> 1 168 IFFERT AVE SE <br /> BUFFALO, MN 55313- TOTAL 497.37 <br /> (612)282-5041 Payment(s) <br /> Minnesota State License#: plbg-609777 CREDIT CARD 5600 497.37 <br /> OWNER <br /> ROBIN,JOHN &CYNTHIA <br /> 5925 FIELDSTONE PLACE <br /> INDEPENDENCE, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be perfom�ed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State F3uilding Code. "I'his pemiit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisioi�s of laws and ordinances governing this type of work <br /> shall be eompied with whether or not specified herein.This permit will <br /> expire and become null and void if constniction 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 eommenced. <br /> "l�he 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 eause. <br /> _ _ - _ �/���Zc�l �;� � i i <br /> _ > <br /> � - <br /> A icant ermitee Signature Date Issued F3y ature Date <br />