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~ • CITY OF ORONO PERMIT NO.: 2010-00002 <br /> 2750 KELLEY YARKWAY <br /> ORONO, MN 55356- DATE ISSUED: O1/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3369 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0017 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : WATER METER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER <br /> NOTE: INSEPCTIONS ARE DONL-' E3Y PUBI,IC WORKS DEPARTMF,N C. <br /> TO SGT-UP AN INSPECTION, PLEASE CALL:(952)249-4613 <br /> �/8" WATER METGR <br /> SGRIAL# 86055�63 <br /> ER"C I IIGE 1 1830474967 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPWCANT <br /> WATER METER RESIDENTIAL 268.05 <br /> HAGEN, PAUL WATER METER RESIDENT[AL HORN 66.83 <br /> 3369 CRYSTAL BAY RD <br /> WAYZATA, MN 55391 TOTAL 334.88 <br /> PAID WITH CASH 334.88 <br /> OWNER <br /> HAGEN, PAUL <br /> 3369 CRYSTAL BAY RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit is issued shall bc performed accordin�to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which rcquires separate <br /> pem�its. All provisions of laws and ordinanccs�overning this type of work <br /> shall be compied with whether or not specified hcrein."I'his perniit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuancc,or if construction is <br /> suspended for a period oY 180 days at any time atter work has commenced. <br /> The applicant is responsible for assurin�all required inspections are <br /> requested onforman with the Statc[3uilding Code.'I'his permit may be <br /> revok a ny[ime f ue cause. <br /> i i Q l'�_ �i i �O/v <br /> pp c t er ee Signature Da e Issu d[3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />