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`' � CITY OF ORONO * 2 0 1 4 - 0 1 4 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3655 NORTH SHORE DR <br /> PIN : 08-117-23-34-0050 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 000 BLOCK 000 <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 /> 5/8"METER <br /> SERIAL#94069729 <br /> ERT HIGH# 1850420984 <br /> WATER METER RESIDENTIAL HORN 1 WATER METER RESIDENTIAL 1 <br /> APPLICANT WATER METER RESIDENTIAL 245.70 <br /> WATER METER RESIDENTIAL HORN 68.97 <br /> PREFERRED PLUMBING INC MISC FEE 0.00 <br /> 6400 HIGH POINT TRAIL <br /> PRIOR LAKE,MN 55372- TOTAL 314.67 <br /> (952)447-5761 Payment(s) <br /> CHECK 3528 314.67 <br /> OWNER <br /> HAGEN,AL& DONNA <br /> 3655 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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 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 authorized 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.This permit may be <br /> revo t any time due cause. <br /> -3�`J / / l��l � <br /> App icant Pe �ee ignatu e Date Issue By Signature Date <br />