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,+ s . CITY OF ORONO * 2 0 1 6 — 0 0 4 2 6 * , <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2016 <br /> ORONO,MN 55356- . <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 10 MYRTLEWOOD RD <br /> pIN : 36-118-23-33-0009 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : WATER METER-RESIDENTIAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WATER METER-RESIDENTIAL <br /> NOTE: INSEPCTIONS ARE DONE BY PUBLIC WORKS DEPARTMENT. <br /> TO SET-UP AN INSPECTION,PLEASE CALL:(952)249-4613 <br /> 1"NEPTUNE METER <br /> ERT HIGH#1541667976 <br /> SERIAL#53591582 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 372.06 <br /> WATER METER RESIDENTIAL HORN 144.64 <br /> CHAMBERLAIN FINE CUSTOM HOMES TOTAL 516.70 <br /> 11578 CHAMBERLAIN CT Payment(s) <br /> EDEN PRAIRIE,MN 55344 CHECK 3366 516.70 <br /> (952)649-7653 <br /> Minnesota State License#:BUIL-BC661410 <br /> OWNER <br /> Chamberlain Capital LLC <br /> 11578 CHAMBERLAIN CT <br /> EDEN PRAIRIE,MN 55344- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 suthorized 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 commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.1'his permit may be <br /> revoked at any time for due cause. � <br /> � y/.�� �� � , �� <br /> ✓ y <br /> Applicant Permitee Signature Date ssued B gnature Date <br />