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• CITY OF ORONO * z p� 1 3 - 0 0 1 3 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : WATER METER- RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER- RESIDENTIAL <br /> NOTE: INSEPC"['IOVS ARE;DONE BY PUBLlC WORKS DEPARTMENT. <br /> TO SET-UP AN [NSPEC710N,PLEASE CALL:(952)249-4613 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPL[CANT WATER METER RESIDENTIAL 303.70 <br /> GULLICKSON, FRITZ WATER METER RESIDENTIAL HORN 86.64 <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391- TOTAL 390.34 <br /> OWNER _:ty uf Ot�c�,��: <br /> -.'�u Ke1l�nl�et� ^a7Cr-[k:tiG: <br /> GULLICKSON, FRITZ �:r�ano �'I�Y JJ.�.�O ����45-4;r,. <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391- Receipt Na; 3.C�r�S49�, ��� _,� - _ <br /> �ritz Gullickso. <br /> AGREEMENT AND SWORN STATEMENT <br /> r""t'V1�1U5 BdIdYICc: <br /> The work Yor which this permit is issued shall be performed according to ;�_, � <br /> .�:e Qf Wtr Mett, <br /> the approved plans and specifications,applicable City approvals,and the -�r.,, _ <br /> State Building Code. This petmi[is for only Ihe work described and does -"'�� ��"Ystal Plae� ?�,_,,_, <br /> '_��i-s'3�14 <br /> not grant permission for additional or related work which requires sepazate �!a.,., <br /> permits. All provisions of laws and ordinances governing this type of work • ��11dYiBUUS RBVet:_c <br /> __.__ _--. _ __ <br /> shall be compied with whether or not specified herein.This permit will '_a��� <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]80 days at any time afrer work has commenced. '..4BCk ht]: 4ic8 <br /> The applicant is responsible for assuring all required inspections are �"3y�1': <br /> requested in conformance with the State Building Code.This permit may be 'r`itY �U�I1Ck50ri <br /> revoked at any time for due cause. �::�3: �ppiled: -- � <br /> _..------.-.._ .__._ <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUTRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />