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CITYOFORONO * 2017 - 0PJ479 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2017 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2649 CASCO POINT RD <br /> PIN : 20-117-23-24-0029 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 138 BLOCK 000 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER-RESIDENTIAL <br /> NOTE: [NSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <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 RES[DENTIAL HORN 144.64 <br /> D[VERSIFIED PLUMBING&HEATING <br /> P O BOX 91 TOTAL 516J0 <br /> CHASKA, MN 55318- Payment(s) <br /> (952)448-0756 CHECK 5201 516.70 <br /> Minnesota State License#: plbg-71354924 <br /> O W IYER <br /> KINDL, DUSTIN&CASIE <br /> 4898 BARTLETT BLVD <br /> MOLIND, MN 55364- <br /> AGREEMENT 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. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The 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 fqr due cause. `j� <br /> n, / lA ) <br /> � <br /> ,� � ►I � 1Z������ /��_-( �,� i==�� il � t <br /> A ic t Permite ignatu D te Issued By Signature Date <br />