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CITY OF ORONO * z p� 1 5 - 0 0 2 0 6 * <br /> ' , i 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0016 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : WATER METER- RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : WATER METER- RESIDENTIAL <br /> NOT�: INSI;PCTIONS nRE DONG BY PUBLIC WORKS DEPARTMEN"C. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 372.06 <br /> WATER METER RESIDENTIAL HORN 121.I 5 <br /> P.H. MECHANICAL INC MISC FEE 0.00 <br /> 5056 SULGROVE RD <br /> MOUND, MN 55364- TOTAL 493.21 <br /> (612)418-I 123 Payment(s) <br /> CHECK 8901 493.21 <br /> OWNER <br /> SCHMID, DAVID <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 the <br /> State Building Code. 'Chis permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing[his 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 da[e of issuance,or if construction is <br /> suspended for a period of l80 days at any[ime after work has commenced. <br /> I'he applicant is responsible for assuring ali required inspections aze <br /> requested i on rmance with the State Building Code.This permit may be <br /> revoked any me for due cause <br /> Q� , �'�7�1�t--� � // � i/ -S <br /> /lpplicant Per � Signature Datc Issu E3y Signature Date <br />